JACY BLACK
Psychologist
Active
Individual
NPI: 1104531615
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | Yes | - |
Frequently Asked Questions
NPI 1104531615 is the National Provider Identifier for JACY BLACK, a Psychologist provider located in Santa Ana, CA. This NPI was enumerated on January 18, 2023.
JACY BLACK practices at 200 W SANTA ANA BLVD STE 801, Santa Ana, CA 92701.
Quick Facts
- NPI
- 1104531615
- Type
- Individual
- Enumerated
- Jan 18, 2023
- Last Updated
- Sep 10, 2025
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