KANEISHA BLACK, PSY.D

Psychologist - School

Active Individual
NPI: 1609625201

Practice Address

710 WILDLIFE LN
Columbia, SC 29209

Phone: (704) 763-7479

Specialties

Specialty Code Primary License
Psychologist - School 103TS0200X Yes -

Frequently Asked Questions

NPI 1609625201 is the National Provider Identifier for KANEISHA BLACK, PSY.D, a Psychologist - School provider located in Columbia, SC. This NPI was enumerated on May 15, 2024.
KANEISHA BLACK, PSY.D practices at 710 WILDLIFE LN, Columbia, SC 29209.

Quick Facts

NPI
1609625201
Type
Individual
Enumerated
May 15, 2024
Last Updated
May 15, 2024

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