Michael David Black PH.D.

NPI 1093852063 - Psychologist - 103T00000X

NPI Details
NPI 1093852063
Gender Male
Enumeration Date 01/31/2007
Last Updated 02/08/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
DWIGHT D. EISENHOWER VA MEDICAL CENTER
4101 SOUTH 4TH STREET TRAFFICWAY
LEAVENWORTH KS, 66048, US
Phone (800) 952-8387
Fax
Business Location
2013 ATCHISON AVE
LAWRENCE KS, 66047-2314, US
Phone (785) 550-1903
Fax
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Dr. Michael David Black PH.D. NPI is 1093852063, taxonomy code is 103T00000X Michael David Black PH.D. physically located at Dwight D. Eisenhower Va Medical Center, Leavenworth KS, 66048. NPI Number Michael David Black PH.D. has the Individual type.

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1093852063 NPI number is provided on an as is basis without warranty of any kind. 1093852063 is maintained by the National Plan & Provider Enumeration System. The contents of Michael David Black PH.D. are for informational purposes only.