# DR. JANIE E BLACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407108814
- **Gender:** F
- **Credential:** PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 36256 | TX | Yes |

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 01/29/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 325199301 | — | TX |
| 05 | — | 325199302 | — | TX |