Individual
DR. MICHAEL OMAR BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., PSYCHOLOGIST
Contact information
Practice address
14516 W BYERS PL, GOLDEN, CO 80401-5169
(303) 484-9970
Mailing address
14516 W BYERS PL, GOLDEN, CO 80401-5169
(303) 484-9970
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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