Individual provider · Type 1 NPI

David L. Black, PSY.D., LCSW

Health Service Psychologist · Springfield, MO

NPI number 1386640159 Active

Practice location

1531 E Bradford Pkwy, Ste 210-4
Springfield, MO 65804-6566

Fax (417) 890-4091

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X2001004284 (MO)
Health Service Psychologist Primary 103TH0100X2009026793 (MO)
Marriage & Family Therapist 106H00000X2001004284 (MO)
Addiction (Substance Use Disorder) Psychologist 103TA0400X2009026793 (MO)
Cognitive & Behavioral Psychologist 103TB0200X2009026793 (MO)
Group Psychotherapy Psychologist 103TP2701X2009026793 (MO)
Counseling Psychologist 103TC1900X2009026793 (MO)
Clinical Psychologist 103TC0700X2009026793 (MO)
Clinical Child & Adolescent Psychologist 103TC2200X2009026793 (MO)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

16 other providers at this address

About NPI 1386640159

David L. Black, PSY.D., LCSW's National Provider Identifier is 1386640159, issued on Jun 24, 2005. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Springfield, MO. The record was last updated on Apr 21, 2011.