Black, Sandra M
Black, Sandra M is an individual health care provider with primary practice located at 37 Kings Rd Suite 102, Madison NJ 07940-2500. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Black, Sandra M can be contacted via phone (973) 377-7705.Contact Information
Primary practice address
37 Kings Rd Suite 102
Madison NJ 07940-2500
Phone: (973) 377-7705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 373300 | New Jersey |
Profile Details
| NPI number | 1740347020 |
|---|---|
| LBN Legal business name | Black, Sandra M |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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