Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SIONAG M BLACK, PHD
ActiveMS. SIONAG M BLACK, PHD is a Clinical Psychologist healthcare provider located in BEAVER DAM, Wisconsin. NPI 1821049412 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · BEAVER DAM, WI
Registration Details
- NPI Number
- 1821049412
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2006 (20.060490625382 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1012057 (WI)
Practice Information
- Address
-
200 FRONT STREETSUITE 3DBEAVER DAM, WI, 53916Browse WI providers · Browse ZIP 53916
- Phone
- 9208852780
- Fax
- 9208852788
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in BEAVER DAM, WI
| Name | Credential | NPI |
|---|---|---|
| DR. EUGENE P PHILIPP JR. | PSYD | 1326070467 |
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.