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Contact Information

JAMES C BLACK, MA CLINICAL PSY.
815 W HAMLET AVE
HAMLET, NC28345-2507
 Phone: 910-582-7046
 Fax: 910-582-7106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for JAMES C BLACK · (Male)

NPI Number 1790803674
Status Active
Credentials MA CLINICAL PSY.
Entity Individual
Enumeration date 03/27/2007
Last updated 01/05/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 1119
  • SC License # 0762
  • NC Medicaid 3403400
  • NC Other 046NJ BLUECROSS BLUESHIELD
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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