Individual
STEPHANIE BLACK
Active
Individual
STEPHANIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17592A
WY
2084P0802X
Addiction Psychiatry Physician
DO.OP.70017378
WA
Other
Enumeration date
05/25/2021
Last updated
12/09/2025
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