JOHN BLACK JR., MS, LPA

Psychologist

Active Individual
NPI: 1457401945

Practice Address

110 ROACH ST
Georgetown, KY 40324

Phone: (859) 253-1686

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes 423 (KY)

Frequently Asked Questions

NPI 1457401945 is the National Provider Identifier for JOHN BLACK JR., MS, LPA, a Psychologist provider located in Georgetown, KY. This NPI was enumerated on January 10, 2007.
JOHN BLACK JR., MS, LPA practices at 110 ROACH ST, Georgetown, KY 40324.

Quick Facts

NPI
1457401945
Type
Individual
Enumerated
Jan 10, 2007
Last Updated
Jul 9, 2007

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