Individual provider · Type 1 NPI

Sharon Kim Black, PSY.D.

Psychologist · Oak Park, IL

NPI number 1407094915 Active

Practice location

715 Lake St, Suite 706
Oak Park, IL 60301-1422

Mailing address

633 Carpenter Ave
Oak Park, IL 60304-1104

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X180.004472 (IL)
Psychologist Primary 103T00000X071.009658 (IL)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1407094915

Sharon Kim Black, PSY.D.'s National Provider Identifier is 1407094915, issued on Jan 22, 2009. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Oak Park, IL. The record was last updated on Nov 4, 2019.