Individual
DR. PRINCESS BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
659 PARK MEADOW RD STE J, WESTERVILLE, OH 43081-2879
(614) 929-0034
Mailing address
659 PARK MEADOW RD STE J, WESTERVILLE, OH 43081-2879
(614) 929-0034
(614) 392-1113
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6854
OH
Other
Enumeration date
12/15/2014
Last updated
12/04/2024
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