Mrs Susan E Black Sr, MS,CCC-SLP is a
Speech-language Pathologist based in Locust Grove, Virginia. Mrs Susan E Black Sr is licensed to practice in Virginia (license number 2002202317) and her current practice location is
3420 Lakeview Pkwy, Locust Grove, Virginia. She can be reached at her office (for appointments etc.) via phone at
(540) 972-9606.
NPI number for Mrs Susan E Black Sr is 1366599565 and her current mailing address is 3420 Lakeview Pkwy, Locust Grove, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366599565.
Healthcare Provider's Profile
Full Name | Mrs Susan E Black Sr |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 3420 Lakeview Pkwy, Locust Grove, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366599565
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Susan E Black Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366599565 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2002202317 (Virginia) | 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 Susan E Black Sr 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 Susan E Black Sr, MS,CCC-SLP 3420 Lakeview Pkwy, Locust Grove, VA 22508-5664 Ph: (540) 972-9606 | Mrs Susan E Black Sr, MS,CCC-SLP 3420 Lakeview Pkwy, Locust Grove, VA 22508-5664 Ph: (540) 972-9606 |
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