Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982737698 Individual Practitioner Female Practitioner

Jennifer A. Black , MA CCC-SLP

Speech-Language Pathologist • Auburn, ME

Professional Overview & Biography Verified Profile Summary

Jennifer Black, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Auburn, ME. Practice services are available at 24 FALCON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24 Falcon Dr

Auburn, ME 042104384

Telephone 2077825437
Fax 2077530105
Associated Practice Facility / Clinic
🏢 Child Health Center Facility NPI 1033235478

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Auburn, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
19 Specialists

Practicing in Auburn, ME (1187 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ME SP1713

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
26179099 (ME)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Mary Anne Moisan

Occupational Therapist

NPI 1013161108
Theresa Castagna , MS CCC, SLP

Speech-Language Pathologist

NPI 1871897835

MSCCC, Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 11, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2009

Registered at 24 FALCON DR, AUBURN, ME 042104384 (Tel: 2077825437)

📍
Updated Business Mailing Address June 11, 2009

Registered at 16 MADISON AVE, OXFORD, ME 042703579 (Tel: 2077437035)

👤
Provider Name / Credentials Updated June 11, 2009

Recorded as JENNIFER BLACK, M.A. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2009

Speech-Language Pathologist (License #SP1713 in ME)

🟢
Initial NPI Registration & Enumeration March 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982737698
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2007
Last Update: June 11, 2009
Sole Proprietor: No

Mailing Address

16 Madison Ave

Oxford, ME 042703579

Phone: 2077437035

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.