Individual
DR. JAMES JOSEPH BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
227 N 18TH ST, PHILADELPHIA, PA 19103-1212
(215) 854-7103
(215) 965-5713
Mailing address
2412 STANBRIDGE RD, EAST NORRITON, PA 19401-1607
(610) 277-7549
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS007327L
PA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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