NPI 1730346552 · live from the CMS NPI Registry
Donna M Black, SLP
Speech-Language Pathologist, in Dillon, MT. National Provider Identifier 1730346552, active.
NPI record
| NPI | 1730346552 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 200 N Oregon St, Dillon, MT 59725 |
| Practice phone | 406-683-5105 |
| Enumerated | May 20, 2008 |
| Last updated | April 20, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | 1172 (MT) |
| Speech-Language Pathologist, primary | 235Z00000X | 263543 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.