Individual
CYNTHIA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
28496 CLOVER LN, EVERGREEN, CO 80439-8444
(720) 212-1106
Mailing address
28496 CLOVER LN, EVERGREEN, CO 80439-8444
(720) 212-1106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01028420
CO
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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