Individual
DR. DAVID O BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8401 CONNECTICUT AVE STE 1000, CHEVY CHASE, MD 20815
(240) 424-0184
(240) 580-2360
Mailing address
8401 CONNECTICUT AVE STE 700, CHEVY CHASE, MD 20815-5831
(402) 424-0184
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
04542
MD
103TB0200X
Cognitive & Behavioral Psychologist
04542
MD
103TC2200X
Clinical Child & Adolescent Psychologist
04542
MD
103TM1800X
Intellectual & Developmental Disabilities Psychologist
04542
MD
Other
Enumeration date
09/03/2008
Last updated
10/02/2024
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