DR. Shannon L Black, PH.D

NPI #1679595300 in Lincoln, Nebraska

Provider Information

NPI Number
1679595300
Entity Type
Individual
Name
DR. Shannon L Black, PH.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D
Enumeration Date
Jul 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6120 HAVELOCK AVE
Address 2
SUITE B
ZIP Code
68507-1278
Phone
(402) 432-0745

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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