Search › California › 106H00000X
Theresa Black, MA
NPI 1992289607 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2011 S El Camino Real
San Clemente, CA 92672 - Phone
- (949) 342-4070
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-18
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