Individual provider · Type 1 NPI
Michael Richard Black, PSYD
Psychologist · Chicago, IL
Practice location
3139 N Lincoln Ave Ste 221
Chicago, IL 60657-3122
Fax (999) 999-9999
Mailing address
2230 N Kostner Ave
Chicago, IL 60639-3532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 071008134 (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 1699061390
Michael Richard Black, PSYD's National Provider Identifier is 1699061390, issued on Jun 22, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Chicago, IL. The record was last updated on May 13, 2022.