Female

Dr. Taylor M. Black PHD

Clinical Psychologist in Conway, AR(View on Map)

Full Name

Dr. Taylor Michelle Black PHD

NPI Number

1447922935

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/02/2021

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Arkansas

License Number

202118

Contact
Information

Purpose

Mailing
Location

Address

540 CHERUB DR
2220 WASHINGTON AVE

City

Conway
Conway

State

AR
AR

Postal Code

72034-3363
72032-2762

Country

US
US

Telephone Number

N/A
(501) 679-0232

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

psychsolutionstblack@gmail.com

Endpoint Description

email

Use

Direct

Content Type

CSV

Other Description:
CONWAY

Affiliation

N

Endpoint Location

540 Cherub DrConway, AR720343363US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/29/2022

Provider Address

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