David, Grenda Black
David, Grenda Black is an sole proprietor health care provider with primary practice located at 10649 Riverside Dr , Toluca Lake CA 91602. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. David, Grenda Black can be contacted via phone (818) 416-3246.Contact Information
Primary practice address
10649 Riverside Dr
Toluca Lake CA 91602
Phone: (818) 416-3246
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 102985 | California |
Profile Details
| NPI number | 1760869531 |
|---|---|
| LBN Legal business name | David, Grenda Black |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2015 |
| Last updated | Jul 12th, 2018 - about 6 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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