Judith Lynn Black is a Clinical in Norfolk, Virginia. Judith Lynn Black practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith Lynn Black is 1235170796. The last update date is 2023-02-02.
Judith Lynn Black's current location address is 6330 Newtown Rd Ste 300, Norfolk, Virginia. You can contact this provider via phone number 7574663336. The mailing address for Judith Lynn Black is 6330 Newtown Rd Ste 300, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Lynn Black |
|---|---|
| Address | 6330 Newtown Rd Ste 300, Norfolk, Virginia |
| Phone Number | 7574663336 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1235170796 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2023-02-02 |
Provider Mailing Address Detail
| Address | 6330 Newtown Rd Ste 300 |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235024805 |
| Phone Number | 7574663336 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810002873 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6000829 | NC | -- | |
| 2117520 | NC | CIGNA | |
| 046WJ | NC | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Judith Lynn Black by the Centers for Medicare & Medicaid Services (CMS)?
The Judith Lynn Black has been assigned the NPI (National Provider Identifier) 1235170796. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Judith Lynn Black?
The Judith Lynn Black is physically situated at 6330 Newtown Rd Ste 300, in the city of Norfolk, state of VA, with the postal code 235024805.
What is Judith Lynn Black's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Judith Lynn Black is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Judith Lynn Black receive its 1235170796 assignment from the Centers for Medicare & Medicaid Services?
The Judith Lynn Black was assigned its 1235170796 by the Centers for Medicare & Medicaid Services on 2006-06-08.
When was the information regarding Judith Lynn Black, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Judith Lynn Black, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-02-02.