Individual provider · Type 1 NPI
Floanna Black, MA, TLLP
Other Technician · Dearborn, MI
NPI number
1447600549
Active
Practice location
19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
Fax (313) 908-9181
Mailing address
10601 Mount Vernon St Apt 202
Taylor, MI 48180-6910
Other practice locations
- 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 · (313) 926-3567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301017194 (MI) |
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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About NPI 1447600549
Floanna Black, MA, TLLP's National Provider Identifier is 1447600549, issued on Jun 20, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Dearborn, MI. The record was last updated on Jun 15, 2021.