Organization
LISA MYERS BLACK, PH.D., PLLC
Active
Organization
LISA MYERS BLACK, PH.D., PLLC
Active
Other names
Alternative Behavioral Health Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MYERS BLACK PH.D. (HEALTH SERVICE PSYCHOLOGIST)
(405) 573-4019
Entity
Organization
Contact information
Practice address
4003 24TH AVE NE, NORMAN, OK 73071-7749
(405) 573-4019
(405) 573-4074
Mailing address
4003 24TH AVE NE, NORMAN, OK 73071-7749
(405) 573-4019
(405) 573-4074
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
1038
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200111280A
—
OK
Enumeration date
06/07/2007
Last updated
06/25/2008
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