Individual
DR. MARY-KATHRYN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2400 CRESTMOOR RD, SUITE 308, NASHVILLE, TN 37215-2032
(615) 386-7177
(615) 386-7027
Mailing address
2400 CRESTMOOR RD, SUITE 308, NASHVILLE, TN 37215-2032
(615) 386-7177
(615) 386-7027
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P2072
TN
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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