Individual
DR. JOHN L. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4500 S LANCASTER RD, VANTHCS, DALLAS, TX 75216-7167
(214) 857-0722
Mailing address
4500 S LANCASTER RD, VANTHCS, DALLAS, TX 75216-7167
(214) 857-0722
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22511
TX
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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