Black, Chelsea

Black, Chelsea is an individual health care provider with primary practice located at 3405 Civic Center Blvd Rm 107 , Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Black, Chelsea can be contacted via phone (215) 590-7711.

Contact Information

Primary practice address
3405 Civic Center Blvd Rm 107 Philadelphia PA 19104-4319
Phone: (215) 590-7711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS018498 Pennsylvania

Profile Details

NPI number 1023463106
LBN Legal business name Black, Chelsea
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2016
Last updated Oct 23rd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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