Individual
DR. MICHAEL OMAR BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., PSYCHOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1906
CO
103TC1900X
Counseling Psychologist
1906
CO
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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