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Contact Information

JADE G BLACK, MCD,CCC-SLP
205 B CONCORD ROAD
ANDERSON, SC29621
 Phone: 864-630-8188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JADE G BLACK · (Female)

NPI Number 1073760914
Status Active
Credentials MCD,CCC-SLP
Entity Individual
Enumeration date 08/21/2008
Last updated 07/18/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 3922
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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