| Doctor Name: | REBECCA BLACK |
| NPI Number: | 1033232657 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,CCC-SLP |
| License Number: | S2403 |
| Business Practice Address: | 901 Somerby Dr Mobile, AL - 366953490 |
| Business Phone Number: | 2516334447 |
| Business Fax Number: | 2516334141 |
| Mailing Address: | 1908 Flint Rd Se, DECATUR |
| State: | AL |
| Postal Code: | 356016031 |
| Phone Number: | 2563409708 |
| Fax Number: | 2563409624 |
| NPI Enumeration Date: | 04/09/2007 |
| NPI Last Update Date: | 07/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | S2403 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |