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Contact Information

WENDIE G BLACK, MA
3490 E. RIO VIRGIN RD.
LITTLEFIELD, AZ86432
 Phone: 928-347-5486
 Fax: 928-347-5967
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WENDIE G BLACK · (Female)

NPI Number 1386911386
Status Active
Credentials MA
Entity Individual
Enumeration date 11/19/2011
Last updated 11/19/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 3041974
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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