NPI 1447922935 · live from the CMS NPI Registry
Taylor Michelle Black, PhD
Psychologist, Clinical in Conway, AR. National Provider Identifier 1447922935, active.
NPI record
| NPI | 1447922935 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2220 Washington Ave, Conway, AR 72032 |
| Practice phone | 501-679-0232 |
| Mailing address | 540 Cherub Dr, Conway, AR 72034 |
| Enumerated | October 2, 2021 |
| Last updated | October 29, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 202118 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.