Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SPENCER EVAN BLACK, MD
Active Sole ProprietorSPENCER EVAN BLACK, MD is a Psychiatric Neurology healthcare provider located in LEHI, Utah. NPI 1053842914 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · LEHI, UT
Registration Details
- NPI Number
- 1053842914
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2017 (9.4143601894014 yrs)
- Last Updated
- Feb 20, 2024
- Licenses
-
12759564-1205 (UT)12759564-1205 (UT)12759564-8905 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2250 N MILLER CAMPUS DRLEHI, UT, 840437233Browse UT providers · Browse ZIP 84043
- Phone
- 8593137711
- Fax
- 3855311805
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatric Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.