Individual provider · Type 1 NPI

Conner James Black, PhD

Psychologist · Riverside, RI

NPI number 1700652948 Active

Practice location

1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061

Call (401) 432-1000 Map

Fax (401) 432-1500

Mailing address

21 Bloomingdale Rd
White Plains, NY 10605-1504

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Psychologist Primary 103T00000XPS02300 (RI)

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 1700652948

Conner James Black, PhD's National Provider Identifier is 1700652948, issued on Nov 29, 2023. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Riverside, RI. The record was last updated on Sep 16, 2024.