DR. Michael David Black, PH.D.

NPI #1093852063 in Topeka, Kansas

Provider Information

NPI Number: 1093852063
Entity Type: Individual
Name: DR. Michael David Black, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jan 31, 2007
Last Updated: Aug 13, 2020

Practice Location

Address: 2200 SW GAGE BLVD
City: Topeka
State: Kansas
ZIP Code: 66622-0001
Phone: (785) 550-1903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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