Individual
KIMBERLY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
32 MONMOUTH PKWY, MONMOUTH BEACH, NJ 07750-1129
(732) 673-6725
Mailing address
32 MONMOUTH PKWY, MONMOUTH BEACH, NJ 07750-1129
(732) 673-6725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00271800
NJ
Other
Enumeration date
04/16/2012
Last updated
02/08/2016
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