Melissa Black is a Clinical in Dallas, Texas. Melissa Black practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melissa Black is 1972728038. The last update date is 2007-07-08.
Melissa Black's current location address is 6330 Lyndon B Johnson Fwy, Dallas, Texas. You can contact this provider via phone number 9729918855 and fax number 9729918966. The mailing address for Melissa Black is 6330 Lyndon B Johnson Fwy, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Black |
|---|---|
| Address | 6330 Lyndon B Johnson Fwy, Dallas, Texas |
| Phone Number | 9729918855 |
| Fax Number | 9729918966 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1972728038 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6330 Lyndon B Johnson Fwy |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752406467 |
| Phone Number | 9729918855 |
| Fax Number | 9729918966 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 25812 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Melissa Black by the Centers for Medicare & Medicaid Services?
The Melissa Black has been assigned the NPI (National Provider Identifier) 1972728038 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Melissa Black located?
The Melissa Black is located at 6330 Lyndon B Johnson Fwy, Dallas, TX 752406467.
What is Melissa Black's specialized field of practice, and what is the corresponding taxonomy classification code?
The Melissa Black's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972728038 to Melissa Black?
The Melissa Black received its 1972728038 assignment from the Centers for Medicare & Medicaid Services on 2007-04-16.
When was the information regarding Melissa Black, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Melissa Black, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.