Individual
WILLIAM ROBERT BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-4700
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-4700
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.08561
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031904
—
OH
Enumeration date
07/20/2018
Last updated
04/10/2025
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