Individual
MRS. JOAN L. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
14 GLENWOOD CT, BETHANY, CT 06524-3319
(203) 314-1991
Mailing address
14 GLENWOOD CT, BETHANY, CT 06524-3319
(203) 314-1991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002894
CT
Other
Enumeration date
10/05/2009
Last updated
07/21/2022
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