Wellformed AI

NPI 1811730880 · live from the CMS NPI Registry

Haley Marie Black, CCC-SLP

Speech-Language Pathologist, in Hurricane, WV. National Provider Identifier 1811730880, active.

NPI record

NPI1811730880 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location179 Station Pl, Hurricane, WV 25526
Practice phone304-760-6300
EnumeratedJune 17, 2024
Last updatedJune 17, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X2532 (WV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.