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Contact Information

VERNETTA P BLACK, TLLP
13101 ALLEN RD
SOUTHGATE, MI48195-2216
 Phone: 734-785-7705
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for VERNETTA P BLACK · (Female)

NPI Number 1073236469
Status Active
Credentials TLLP
Entity Individual
Enumeration date 09/21/2022
Last updated 09/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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