REBECCA SUSAN BLACK (NPI# 1134344856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134344856 |
| Entity Type | Individual |
| Full Name | REBECCA SUSAN BLACK |
| Credential | M.A., CCC-SLP |
| Practice Address |
269 Glendale Ct Avon IN 46123-7143 |
| Practice Telephone | 3174170057 |
| Practice Fax Number | 3172724049 |
| Mailing Telephone | 3174170057 |
| Mailing Fax Number | 3172724049 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22004280A | IN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467880666 | Rebecca Sarah Rose Black | Speech-Language Pathologist | 10119 Ne 14th St, Vancouver, WA 98664-3003 | 2013-10-24 |
| 1801414016 | Rebecca Elaine Black | Speech-Language Pathologist | 4722 Riverstone Blvd, Missouri City, TX 77459-4723 | 2020-07-14 |
| 1003381070 | Rebecca Ruth Black | Counselor | 16333 Hafer Rd, Houston, TX 77090-4412 | 2018-10-05 |
| 1619286390 | Rebecca Elizabeth Black | Pharmacist | 3300 Se Dwyer Dr, Suite 304, Milwaukie, OR 97222-6548 | 2010-09-29 |
| 1336387885 | Rebecca Black | Technician | 19401 Northline Rd, Southgate, MI 48195-2277 | 2009-01-21 |
| 1033232657 | Rebecca Black | Speech-Language Pathologist | 901 Somerby Dr, Mobile, AL 36695-3490 | 2007-04-09 |
| 1629134895 | Rebecca Black | Speech-Language Pathologist | 4330 Highway 78 E, Suite 118, Jasper, AL 35501-8905 | 2006-12-29 |
| 1518036763 | Rebecca M Black | Psychologist | 20 West Park St, Suites 416 and 219, Lebanon, NH 03766 | 2006-11-06 |
| 1225131691 | Rebecca E Black | Registered Nurse | 207 Commerce Ave, Chesterfield, SC 29709 | 2006-09-07 |
| 1720030257 | Rebecca A. Black | Physical Therapist | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2006-05-16 |
| Street Address |
269 GLENDALE CT |
| City | AVON |
| State | IN |
| Zip Code | 46123-7143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931889 | Ashlee Witty | Speech-Language Pathologist | 6374 Red Oak Dr, Avon, IN 46123-9459 | 2020-08-06 |
| 1962025478 | Souzi Boutros | Speech-Language Pathologist | 3753 Case Rd, Avon, OH 44011-2632 | 2020-05-19 |
| 1932736337 | Monica D Siftar | Speech-Language Pathologist | 2805 Upton Ct, Avon, OH 44011-4923 | 2020-03-25 |
| 1225678212 | Megan Blackburn | Speech-Language Pathologist | 4281 St Theresa Blvd, Avon, OH 44011-2850 | 2020-01-08 |
| 1447727656 | Casey Aberth | Speech-Language Pathologist | 998 W Beaver Creek Blvd, 311, Avon, CO 81620 | 2018-10-25 |
| 1437687050 | Sarah Petrella | Speech-Language Pathologist | 3445 Long Rd, Avon, OH 44011-2233 | 2017-05-26 |
| 1699211102 | Kathy Nash | Speech-Language Pathologist | 3100 Nagel Rd, Avon, OH 44011-2058 | 2017-01-09 |
| 1518400613 | Jessica Talbott | Speech-Language Pathologist | 3075 Stoney Ridge Rd, Avon, OH 44011-1821 | 2016-11-22 |
| 1780068759 | Tina Moreno | Speech-Language Pathologist | 3297 Persimmon Ln, Avon, OH 44011-3706 | 2015-07-19 |
| 1790177806 | Abby Tower | Speech-Language Pathologist | 1976 Tawney Ln, Avon, IN 46123-9595 | 2015-02-26 |
| Find all providers in AVON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.