Individual
DIAMOND MARIE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18605 KEWANEE AVE UNIT 1, CLEVELAND, OH 44119-2736
(440) 596-0655
Mailing address
18605 KEWANEE AVE UNIT 1, CLEVELAND, OH 44119-2736
(440) 596-0655
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
OH
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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