Individual provider · Type 1 NPI

Stephen Thomas Black, PhD

Psychologist · Turlock, CA

NPI number 1417189846 Active

Practice location

1 University Cir, Csu Stanislaus
Turlock, CA 95382-3200

Mailing address

764 Edgemar Ave
Pacifica, CA 94044-2319

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY 21055 (CA)
Psychologist 103T00000XPSY 46754 (MS)

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 1417189846

Stephen Thomas Black, PhD's National Provider Identifier is 1417189846, issued on Aug 18, 2009. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Turlock, CA. The record was last updated on Aug 18, 2009.