Black, Devera

Black, Devera is an individual health care provider with primary practice located at 71 Twin Lakes Rd , So Salem NY 10590. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Black, Devera can be contacted via phone (914) 763-3438.

Contact Information

Primary practice address
71 Twin Lakes Rd So Salem NY 10590
Phone: (914) 763-3438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X New York

Profile Details

NPI number 1043355233
LBN Legal business name Black, Devera
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 26th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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