NPI
Alicen Mariah Black
NPI 1528951803
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2025-06-03
- Last updated
- 2025-06-03
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Specialties
Licenses
- License WA
- 61458981
- License WI
- 5281-29
- License WV
- 1595
- License TX
- DT88876
- License IN
- 37003888A
- License KS
- 2959
- License RI
- LDN01343
- License AL
- 5236
- License TN
- 4636
- License OH
- LD.09784
Location
- Practice location
- 126 Mosside Loop
- City
- Seven Fields PA
- Postal code
- 16046-7910
- Phone
- (551) 579-0052
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Seven Fields, PA. 204 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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