Provider Demographics
NPI:1437397445
Name:BLACK, LAURA ARROWOOD (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ARROWOOD
Last Name:BLACK
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 PARKLAND ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-9033
Mailing Address - Country:US
Mailing Address - Phone:828-433-0547
Mailing Address - Fax:
Practice Address - Street 1:109 PARKLAND ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-9033
Practice Address - Country:US
Practice Address - Phone:828-433-0547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2014-03-03
Deactivation Date:2008-08-18
Deactivation Code:
Reactivation Date:2009-01-29
Provider Licenses
StateLicense IDTaxonomies
NC5532235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7411994Medicaid