Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID L. BLACK, PSY.D., LCSW
ActiveDR. DAVID L. BLACK, PSY.D., LCSW is a Health Service Psychologist healthcare provider located in SPRINGFIELD, Missouri. NPI 1386640159 is currently active in the NPPES registry. Verify at CMS.
Health Service Psychologist · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1386640159
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2005 (21.169230772901 yrs)
- Last Updated
- Apr 21, 2011
- Licenses
-
2001004284 (MO)2009026793 (MO)2001004284 (MO)2009026793 (MO)2009026793 (MO)
Practice Information
- Address
-
1531 E BRADFORD PKWYSTE 210-4SPRINGFIELD, MO, 658046566Browse MO providers · Browse ZIP 65804
- Phone
- 4178904083
- Fax
- 4178904091
- Primary Specialty
-
Health Service Psychologist
103TH0100X
- Additional Specialty
- Health Service Psychologist
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
- Additional Specialty
- Cognitive & Behavioral Psychologist
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.