DR. Jonathan R Black, PSYD

NPI #1144521501 in Boca Raton, Florida

Provider Information

NPI Number: 1144521501
Entity Type: Individual
Name: DR. Jonathan R Black, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Nov 16, 2010
Last Updated: Jul 29, 2014

Practice Location

Address: 2290 NW 2ND AVE
Address 2: SUITE 7
City: Boca Raton
State: Florida
ZIP Code: 33431-7457
Phone: (561) 706-1004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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