Individual
AMY CATHERINE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPSS
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 406-5365
Mailing address
2813 S MAIN ST FL 2, CORONA, CA 92882-5942
(951) 737-2962
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
04/27/2020
Last updated
12/12/2022
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