Mrs Audrey Everett Black, MS, CCC-SLP is a
Speech-language Pathologist based in Fort Stockton, Texas. Mrs Audrey Everett Black is licensed to practice in Texas (license number 101106) and her current practice location is
1200 W 2nd St, Fort Stockton, Texas. She can be reached at her office (for appointments etc.) via phone at
(806) 778-8326.
NPI number for Mrs Audrey Everett Black is 1245968155 and her current mailing address is 1200 W 2nd St, Fort Stockton, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245968155.
Healthcare Provider's Profile
Full Name | Mrs Audrey Everett Black |
---|
Gender | Female |
---|
Speciality | Speech-language Pathologist |
---|
Location | 1200 W 2nd St, Fort Stockton, Texas |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245968155
- Provider Enumeration Date: 08/09/2022
- Last Update Date: 08/09/2022
Medical Identifiers
Medical identifiers for Mrs Audrey Everett Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245968155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 101106 (Texas) | 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. Mrs Audrey Everett 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 |
Mrs Audrey Everett Black, MS, CCC-SLP 1200 W 2nd St, Fort Stockton, TX 79735-6432 Ph: (806) 778-8326 | Mrs Audrey Everett Black, MS, CCC-SLP 1200 W 2nd St, Fort Stockton, TX 79735-6432 Ph: (806) 778-8326 |
Reviews and Comments