Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN W BLACK JR., MS, LPA
ActivePsychologist · GEORGETOWN, KY
Registration Details
- NPI Number
- 1457401945
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2007 (19.322092823486 yrs)
- Last Updated
- Jul 9, 2007
- License
-
423 (KY)
Practice Information
- Address
-
110 ROACH STGEORGETOWN, KY, 403249393Browse KY providers · Browse ZIP 40324
- Phone
- 8592531686
- Fax
- 8592542743
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in GEORGETOWN, KY
| Name | Credential | NPI |
|---|---|---|
| SHON L GOODWIN | M.S. | 1952413536 |
| MABLE ROWE LINEBERGER | PH.D. | 1437250602 |
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.