Individual provider · Type 1 NPI

Tyler Black, CCC-SLP

Speech-Language Pathologist · Winston Salem, NC

NPI number 1164683033 Active

Practice location

185 Charlois Blvd
Winston Salem, NC 27103-1521

Fax (877) 725-0222

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X2202005520 (VA)
Speech-Language Pathologist Primary 235Z00000X9027 (NC)

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 1164683033

Tyler Black, CCC-SLP's National Provider Identifier is 1164683033, issued on Jun 23, 2008. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 7, 2014.