Individual
DANIELLE LORETTA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
501 N. 2ND STREET, 3RD FLOOR, RICHMOND, VA 23219
(804) 828-7912
(928) 380-4828
Mailing address
PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0116039722
VA
Other
Enumeration date
04/08/2024
Last updated
06/22/2025
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