NPI 1093870115 · live from the CMS NPI Registry
Mary-Kathryn Black, Ph.D.
Psychologist, Clinical in Nashville, TN. National Provider Identifier 1093870115, active.
NPI record
| NPI | 1093870115 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2400 Crestmoor Rd, Suite 308, Nashville, TN 37215 |
| Practice phone | 615-386-7177 |
| Enumerated | December 27, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | P2072 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.