Search › California › 103T00000X
Stephen Black, PH.D
NPI 1417189846 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1 University Cir
Csu Stanislaus
Turlock, CA 95382 - Phone
- (209) 667-3065
- Organisation at this address
- California State University Stanislaus
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103T00000X
- Licence states on file
- CA, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California