Black, Erica M

Black, Erica M is an sole proprietor health care provider with primary practice located at 636 Plank Rd Suite 107A, Clifton Park NY 12065-2042. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Black, Erica M can be contacted via phone (518) 951-9489.

Contact Information

Primary practice address
636 Plank Rd Suite 107A Clifton Park NY 12065-2042
Phone: (518) 951-9489
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 016246-1 New York

Profile Details

NPI number 1356549463
LBN Legal business name Black, Erica M
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2007
Last updated Oct 22nd, 2012 - about 14 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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