MR. Phillip Anthony Black, M.S.
NPI #1326149873 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1326149873
- Entity Type
- Individual
- Name
- MR. Phillip Anthony Black, M.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.S.
- Enumeration Date
- Sep 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 500 S SWEET GUM AVE
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4543
- Phone
- (918) 250-5963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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