Kimberly Black, MA CCC-SLP is a
Speech-language Pathologist based in Monmouth Beach, New Jersey. Kimberly Black is licensed to practice in New Jersey (license number 41YS00271800) and her current practice location is
32 Monmouth Pkwy, Monmouth Beach, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 673-6725.
NPI number for Kimberly Black is 1962769919 and her current mailing address is 32 Monmouth Pkwy, Monmouth Beach, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962769919.
Healthcare Provider's Profile
Full Name | Kimberly Black |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 32 Monmouth Pkwy, Monmouth Beach, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962769919
- Provider Enumeration Date: 04/16/2012
- Last Update Date: 02/08/2016
Medical Identifiers
Medical identifiers for Kimberly Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962769919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 41YS00271800 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Black, MA CCC-SLP 32 Monmouth Pkwy, Monmouth Beach, NJ 07750-1129 Ph: (732) 673-6725 | Kimberly Black, MA CCC-SLP 32 Monmouth Pkwy, Monmouth Beach, NJ 07750-1129 Ph: (732) 673-6725 |
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