Individual
DR. SAMANTHA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2238 S HAMILTON RD STE 200, COLUMBUS, OH 43232-4382
(740) 751-0042
Mailing address
106 STARRET ST STE 100, LANCASTER, OH 43130-3993
(740) 687-0042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
08687
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2021
Last updated
09/09/2024
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