Individual ProviderLashawn BlackSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2208 Bettylou Ln, Austin, TX 78754-5513(210) 262-0289PECOS EnrollmentBased on the most recent information from CMS, provider Lashawn Black does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1285333021Provider TypeIndividualFull NameBlack, LashawnCredentialM.A. CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date3/1/2023Last Updated3/1/2023Contact InformationPractice LocationPractice Address2208 Bettylou Ln, Austin, TX 78754-5513Phone(210) 262-0289FaxUnlisted FaxMailing LocationMailing Address2208 Bettylou Ln, Austin, TX 78754-5513Phone(210) 262-0289FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense111382Texas