Donna M Black, SLP
Individual provider Active NPI Speech-Language Pathologist · Dillon, MT
NPI 1730346552 · NPPES record last updated Apr 20, 2020
Key facts
- NPI
- 1730346552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 263543 (KY)
- Practice address
- 200 N Oregon St
Dillon, MT 59725-3624 - Phone
- (406) 683-5105
- Fax
- (406) 683-6388
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263543 | KY | MD | Speech-Language Pathologist |
| 1172 | MT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1172 | MT | |
| Speech-Language Pathologist | 235Z00000X | 263543 | KY | Yes |
Addresses
Primary practice location
200 N Oregon St
Dillon, MT 59725-3624
Mailing address
200 N Oregon St
Dillon, MT 59725-3624
Phone (406) 683-5105
Other providers in Dillon, MT
- Andrew James Belice
- Tammy Marie Belice
- Erika Berens
- Elaine Birdsley
- Kaleb Shane Birney
- Bohannon Creek Enterprises, Inc.
- Jody I Bowman
- Matthew Bowman
- Bradley P Kepp OD PC
- Nora Jean Brown-Dingley
All providers in Dillon, MT · Speech-Language Pathologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.