David L. Black in Springfield - Health Service
David L. Black - NPI 1386640159
David L. Black is a Health Service in Springfield, Missouri. David L. Black practices all healthcare services and medical treatments related to Health Service. The NPI Number for David L. Black is 1386640159. The last update date is 2011-04-21.
David L. Black's current location address is 1531 E Bradford Pkwy, Springfield, Missouri. You can contact this provider via phone number 4178904083 and fax number 4178904091. The mailing address for David L. Black is 1531 E Bradford Pkwy, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David L. Black |
|---|---|
| Address | 1531 E Bradford Pkwy, Springfield, Missouri |
| Phone Number | 4178904083 |
| Fax Number | 4178904091 |
| Sole Proprietor | N |
| Credentials | PSY.D., LC |
NPI Number Detail
| NPI Number | 1386640159 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2011-04-21 |
Provider Mailing Address Detail
| Address | 1531 E Bradford Pkwy |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658046566 |
| Phone Number | 4178904083 |
| Fax Number | 4178904091 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 2009026793 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 494960107 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to David L. Black by the Centers for Medicare & Medicaid Services?
The David L. Black has been assigned the NPI (National Provider Identifier) 1386640159 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where David L. Black is located?
The David L. Black is situated at the following address: 1531 E Bradford Pkwy, Springfield, MO, 658046566.
What is the area of specialization for David L. Black, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David L. Black is Health Service, and the corresponding taxonomy code that categorizes this area of expertise is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386640159 to David L. Black?
The David L. Black received its 1386640159 assignment from the Centers for Medicare & Medicaid Services on 2005-06-24.
As of what date was the information regarding David L. Black, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David L. Black, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-04-21.
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