Individual provider · Type 1 NPI

Samantha Black, MA CCC-SLP/L

Speech-Language Pathologist · Chicago, IL

NPI number 1104416700 Active

Practice location

1510 E 55th St
Chicago, IL 60615-2598

Call (219) 363-8498 Map

Mailing address

304 N Loomis St
Chicago, IL 60607-1147

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X146.015549 (IL)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1104416700

Samantha Black, MA CCC-SLP/L's National Provider Identifier is 1104416700, issued on Jan 19, 2021. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 9, 2023.