NPI 1588037055 · live from the CMS NPI Registry
Michelle Black, Ph.D.
Psychologist, School in Knoxville, TN. National Provider Identifier 1588037055, active.
NPI record
| NPI | 1588037055 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 2018 Western Ave, Knoxville, TN 37921 |
| Practice phone | 865-544-0406 |
| Mailing address | 6350 W Andrew Johnson Hwy, Department 100, Talbott, TN 37877 |
| Enumerated | November 5, 2015 |
| Last updated | November 5, 2015 |
| Sole proprietor | No |
| Other names | Michelle Kravitz |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | P3257 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.