Chyan A. Black
Chyan A. Black is a Qualified Speech Language Pathologist in Dacula, Georgia. Qualified in 2024, 2 years ago. Practices with Empowerme Rehabilitation Illinois LLC, a 367-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 2
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
3615 Braselton Hwy Ste 103Dacula, GA 30019-5907
Phone: (678) 377-9634
Fax: (678) 377-9609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence PCET004159 (GA) |
|---|
Record details
| NPI number | 1396569687 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 13, 2024 |
| Last updated in NPPES | November 13, 2024 |
| Certification date | November 13, 2024 |
| Mailing address | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Empowerme Rehabilitation Illinois Llc — 367 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Dacula
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Kelly Jones Ball, MED, CCC-SLP
3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 · (678) 377-9634
-
Mariah Lindsey Bradley, SLP
3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 · (678) 377-9634
-
Ansley Broojs
2089 Teron Trce Ste 120, Dacula, GA 30019-1609 · (770) 904-2357
-
Kathleen Suzanne Burch, MED, CCC-SLP
3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 · (678) 377-9634
-
Chelsea Campbell, MSCCC-SLP
2089 Teron Trce Ste 120, Dacula, GA 30019-1609 · (770) 904-2357