Individual
DR. DAVID L. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., LCSW
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
2009026793
MO
103TB0200X
Cognitive & Behavioral Psychologist
2009026793
MO
103TC0700X
Clinical Psychologist
2009026793
MO
103TC1900X
Counseling Psychologist
2009026793
MO
103TC2200X
Clinical Child & Adolescent Psychologist
2009026793
MO
103TH0100X
Health Service Psychologist
Primary
2009026793
MO
103TP2701X
Group Psychotherapy Psychologist
2009026793
MO
1041C0700X
Clinical Social Worker
2001004284
MO
106H00000X
Marriage & Family Therapist
2001004284
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494960107
—
MO
Enumeration date
06/24/2005
Last updated
04/21/2011
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