Individual
DR. LISA MYERS BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4003 24TH AVE NE, NORMAN, OK 73071-7749
(214) 532-9405
(405) 573-7411
Mailing address
4003 24TH AVE NE, NORMAN, OK 73071-7749
(214) 532-9405
(405) 573-7411
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
1038
OK
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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