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DR. LISA MYERS BLACK PH.D.

Behavioral Health & Social Service Providers Psychologist Health Service

Provider NPI: 1386787661

Provider Information:
DR. LISA MYERS BLACK PH.D.
Gender: F
Sole Proprietor

Practice Location:
4003 24TH AVE NE  NORMAN, OK 73071-7749 US
Tel: 214-532-9405  Fax: 405-573-7411

Business Mailing Address:
4003 24TH AVE NE  NORMAN, OK 73071-7749 US
Tel: 214-532-9405  Fax: 405-573-7411

NPI Information:
NPI: 1386787661
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TH0100XBehavioral Health & Social Service Providers
Psychologist
Health Service
OK1038

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103TH0100X

Type:

Classification:



Definition:



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