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Kristen Alice Black, CCC-SLP

NPI 1639672728ActiveIndividual· Speech-Language Pathologist· Leonardtown, MD

Speech-Language Pathologist (CCC-SLP) in Leonardtown, Maryland, licensed in MD, with an NPI issued in March 2018.

Overview

NPI1639672728
StatusActive
Entity typeIndividual
CredentialCCC-SLP
Sole proprietorNo
NPI issuedMar 14, 2018
Last updated in NPPESJun 23, 2020
Certified by providerJun 23, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X09410MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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