Black, Marcia Gail
Black, Marcia Gail is an sole proprietor health care provider with primary practice located at 9 Research Dr , Amherst MA 01002-2774. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Black, Marcia Gail can be contacted via phone (413) 687-7559.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | MA6786PSYCH | Massachusetts |
Profile Details
| NPI number | 1114018488 |
|---|---|
| LBN Legal business name | Black, Marcia Gail |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | May 10th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114018488 | NPPES |
| Other | 000533266 | AETNA | |
| Other | 8635 | AETNA | |
| Other | 028140 | AETNA | |
| MEDICAID | 1853601 | AETNA | |
| Other | 357374 | AETNA |
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