Michael S Black Ph D and Park Psychological Services Ltd

NPI #1407095466 in Glencoe, Illinois

Provider Information

NPI Number
1407095466
Entity Type
Organization
Organization Name
Michael S Black Ph D and Park Psychological Services Ltd
Primary Specialty
Psychologist - Clinical
Enumeration Date
Feb 16, 2009
Last Updated
Feb 16, 2009

Practice Location

Address
473 PARK AVE
ZIP Code
60022-1549
Phone
(847) 835-5517

Authorized Official

Name
DR. MICHAEL STUART BLACK, PH.D.
Title
PRESIDENT
Phone
(847) 835-5517

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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