Mr Robert Benton Black Ii, MS SLP - Speech-Language Pathologist in Rolling Fork, MS

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Mr Robert Benton Black Ii, MS SLP is a Speech-language Pathologist based in Rolling Fork, Mississippi. Mr Robert Benton Black Ii is licensed to practice in Mississippi (license number S5249) and his current practice location is 431 W Race St, Rolling Fork, Mississippi. He can be reached at his office (for appointments etc.) via phone at (662) 795-0440.

NPI number for Mr Robert Benton Black Ii is 1255167797 and his current mailing address is 431 W Race St, Rolling Fork, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255167797.

Contact Information

Mr Robert Benton Black Ii, MS SLP
431 W Race St,
Rolling Fork, MS 39159-2625
(662) 795-0440
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Robert Benton Black Ii
GenderMale
SpecialitySpeech-language Pathologist
Location431 W Race St, Rolling Fork, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255167797
  • Provider Enumeration Date: 09/11/2024
  • Last Update Date: 09/11/2024

Medical Identifiers

Medical identifiers for Mr Robert Benton Black Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255167797NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist S5249 (Mississippi)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. Mr Robert Benton Black Ii 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 AddressPractice Location Address
Mr Robert Benton Black Ii, MS SLP
431 W Race St,
Rolling Fork, MS 39159-2625

Ph: (662) 571-7667		Mr Robert Benton Black Ii, MS SLP
431 W Race St,
Rolling Fork, MS 39159-2625

Ph: (662) 795-0440

Reviews and Comments


Speech-Language Pathologist in Rolling Fork, MS


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