Individual
DR. MARCIA GAIL BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9 RESEARCH DR, AMHERST, MA 01002-2774
(413) 687-7559
Mailing address
9 RESEARCH DR STE 1A, AMHERST, MA 01002-2775
(413) 687-7559
(413) 687-7559
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MA6786PSYCH
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000533266
AETNA
—
01
—
028140
BOSTON MED CENTER HEALTH
MA
05
—
1853601
—
MA
01
—
357374
TUFTS
—
01
—
8635
UBH
—
Enumeration date
09/28/2006
Last updated
05/10/2023
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