Individual
BRITANI SHAYE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 20TH ST STE 200, HUNTINGTON, WV 25703-2071
(304) 691-1500
(304) 523-4358
Mailing address
1115 20TH ST STE 200, HUNTINGTON, WV 25703-2071
(304) 691-1500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1247
WV
Other
Enumeration date
02/24/2020
Last updated
12/14/2021
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