Organization
TERESA BLACK, M.D. INC. P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA BLACK M.D. (OWNER)
(360) 255-2505
Entity
Organization
Contact information
Practice address
12 BELLWETHER WAY, SUITE 223, BELLINGHAM, WA 98225-2959
(360) 255-2505
(360) 255-2504
Mailing address
12 BELLWETHER WAY, SUITE 223, BELLINGHAM, WA 98225-2959
(360) 255-2505
(360) 255-2504
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
09/17/2008
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