Individual
CONNER JAMES BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
(401) 432-1500
Mailing address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS02300
RI
103T00000X
Psychologist
—
—
Other
Enumeration date
11/29/2023
Last updated
09/16/2024
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