Black, Robert

Black, Robert is an individual health care provider with primary practice located at 9412 Big Horn Blvd , Elk Grove CA 95758-1101. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Black, Robert can be contacted via phone (916) 226-2800.

Contact Information

Primary practice address
9412 Big Horn Blvd Elk Grove CA 95758-1101
Phone: (916) 226-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1568700904
LBN Legal business name Black, Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2013
Last updated Feb 25th, 2021 - about 3 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.

Request for update

Popular Providers