Individual
DR. AUSTIN C. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
2670 S FERDON BLVD STE 105, CRESTVIEW, FL 32536-5481
(850) 683-8777
Mailing address
2670 S FERDON BLVD STE 105, CRESTVIEW, FL 32536-5481
(850) 683-8777
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0388
KY
231HA2400X
Assistive Technology Practitioner Audiologist
0388
KY
231HA2500X
Assistive Technology Supplier Audiologist
0388
KY
237600000X
Audiologist-Hearing Aid Fitter
0388
KY
Other
Enumeration date
10/02/2006
Last updated
10/24/2023
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