NPI 1265600266 · live from the CMS NPI Registry
Thomas Short Black, SLP
Speech-Language Pathologist, in Martinsburg, WV. National Provider Identifier 1265600266, active.
NPI record
| NPI | 1265600266 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | Berkeley County Board Of Education, 401 South Queen Street, Martinsburg, WV 25401 |
| Practice phone | 304-267-3500 |
| Mailing address | 51 Finch Ln, Falling Waters, WV 25419 |
| Enumerated | February 13, 2008 |
| Last updated | February 13, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 7250 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.