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Individual
SUZANNE ALEXANDRA BLACK
Active
Individual
SUZANNE ALEXANDRA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
020429
NY
103TB0200X
Cognitive & Behavioral Psychologist
020429
NY
103TC0700X
Clinical Psychologist
Primary
020429
NY
103TF0000X
Family Psychologist
020429
NY
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
020429
NY
103TR0400X
Rehabilitation Psychologist
020429
NY
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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