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Contact Information

CAROLYN L BLACK, PSYD, LP
992 S 4TH AVE UNIT 100-218
BRIGHTON, CO80601-6802
 Phone: 720-515-4291
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CAROLYN L BLACK · (Female)

NPI # 1508331257
Status Active
Credentials PSYD, LP
Entity Individual
Enumeration date 10/09/2018
Last updated 09/07/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • CO License # PSY.0006222
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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