Dr. David L. Black
Health Service Clinical Psychologist Group Psychotherapist Counseling Psychologist and 4 more
1531 E Bradford Pkwy Ste 210-4
Springfield
, Missouri 65804-6566
Dr. David L. Black
Health Service Clinical Psychologist Group Psychotherapist Counseling Psychologist and 4 more
1531 E Bradford Pkwy Ste 210-4
Springfield
, Missouri 65804-6566
(417) 890-4091
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Counseling Psychologist
- Clinical Child & Adolescent Psychologist
- Health Service
- Group Psychotherapist
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Dr. David L. Black
- 1531 E Bradford Pkwy Ste 210-4
- Springfield, MO
- Zip : 65804-6566
- Fax : (417) 890-4091
- Phone : (417) 890-4083
Second Address
- Dr. David L. Black
- 1531 E Bradford Pkwy Ste 210-4
- Springfield, MO
- Zip : 65804-6566
- Fax : (417) 890-4091
- Phone : (417) 890-4083
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 2009026793 | MO |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 2009026793 | MO |
| N | 103G00000X | Clinical Psychologist | 2009026793 | MO |
| N | 103TC0700X | Clinical Psychologist | 2009026793 | MO |
| N | 103TC1900X | Counseling Psychologist | 2009026793 | MO |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2009026793 | MO |
| Y | 103TH0100X | Health Service | 2009026793 | MO |
| N | 103TP2701X | Group Psychotherapist | 2009026793 | MO |
| N | 1041C0700X | Clinical Social Worker | 2001004284 | MO |
National Provider Identifier
| NPI | 1386640159 |
|---|---|
| Provider Name | Dr. David L. Black |
| First Address | Springfield, MO 65804-6566 |
| Second Address | Springfield, MO 65804-6566 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2005 |
| Last Update Date | 21/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 494960107 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.