Individual
DR. AMELIA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., CGP
Contact information
Practice address
CEB 226 4505 S. MARYLAND PKWY, BOX #453033, LAS VEGAS, NV 89154
(702) 895-1532
Mailing address
CEB 226 4505 S. MARYLAND PKWY, BOX #453033, LAS VEGAS, NV 89154
(702) 895-1532
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0928
NV
Other
Enumeration date
07/29/2020
Last updated
08/02/2021
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