Black, Janie E

Black, Janie E is an sole proprietor health care provider with primary practice located at 1600 W 38Th St Ste 212 , Austin TX 78731-6405. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Black, Janie E can be contacted via phone (512) 324-3315.

Contact Information

Primary practice address
1600 W 38Th St Ste 212 Austin TX 78731-6405
Phone: (512) 324-3315
Fax: (512) 324-3314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 36256 Texas

Profile Details

NPI number 1407108814
LBN Legal business name Black, Janie E
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2012
Last updated Jan 29th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407108814 NPPES
Texas MEDICAID 325199302
Texas MEDICAID 325199301

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