CHYAN BLACK
Speech-Language Pathologist
Active
Individual
NPI: 1396569687
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes | PCET004159 (GA) |
Frequently Asked Questions
NPI 1396569687 is the National Provider Identifier for CHYAN BLACK, a Speech-Language Pathologist provider located in Dacula, GA. This NPI was enumerated on November 13, 2024.
CHYAN BLACK practices at 3615 BRASELTON HWY STE 103, Dacula, GA 30019.
Quick Facts
- NPI
- 1396569687
- Type
- Individual
- Enumerated
- Nov 13, 2024
- Last Updated
- Nov 13, 2024
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