Individual
DR. SHIMRIT KOREN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-6612
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-6612
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
10059
—
103TC0700X
Clinical Psychologist
Primary
10059
MA
Other
Enumeration date
08/12/2014
Last updated
01/24/2015
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