Individual provider · Type 1 NPI

Sionag M. Black, PhD

Clinical Psychologist · Beaver Dam, WI

NPI number 1821049412 Active

Practice location

200 Front Street, Suite 3D
Beaver Dam, WI 53916

Fax (920) 885-2788

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1012057 (WI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1821049412

Sionag M. Black, PhD's National Provider Identifier is 1821049412, issued on May 16, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Beaver Dam, WI. The record was last updated on Jul 8, 2007.