TYLER BLACK

WINSTON SALEM, NC
NPI1164683033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NC  9027)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: VA  2202005520)
Enumeration Date2008-06-23
Last Update Date2014-10-07
Business Address
-- TYLER BLACK CCC-SLP
185 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1521
Phone number: 336-725-0222
Mailing Address
-- TYLER BLACK CCC-SLP
185 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1521
Phone number: 336-725-0222