Vivian Black, CCCSLP
Vivian Black, CCCSLP is a Qualified Speech Language Pathologist in Saratoga Springs, New York. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New York.
- Years since qualifying
- 5
- Licensed in
- NY
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
1 Blue Streak BlvdSaratoga Springs, NY 12866-5952
Phone: (518) 587-6690
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 108 N Main St, Sunderland, MA 01375-9502 — (413) 665-8717
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 032067-01 (NY) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1639629686 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CCCSLP |
| Sole proprietor | Yes |
| NPI enumerated | October 13, 2016 |
| Last updated in NPPES | October 19, 2022 |
| Certification date | October 19, 2022 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Saratoga Springs
-
Inadvance Medicine Associates East
7 Wells St Ste 1, Saratoga Springs, NY 12866 · (877) 358-8648