Individual
KEISHA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 BEACON PKWY W STE 101, BIRMINGHAM, AL 35209-3126
(205) 440-2294
(205) 850-5571
Mailing address
6209 WINDSOR LN, PINSON, AL 35126-3490
(205) 440-2294
(205) 850-5571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5540
AL
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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