Black, Rebecca M

Black, Rebecca M is an individual health care provider with primary practice located at 20 West Park St Suites 416 And 219, Lebanon NH 03766. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Black, Rebecca M can be contacted via phone (603) 448-1101.

Contact Information

Primary practice address
20 West Park St Suites 416 And 219 Lebanon NH 03766
Phone: (603) 448-1101
Fax: (603) 448-8249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 362 New Hampshire
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0480000202 Vermont
Behavioral Health & Social Service Providers / Psychologist 103T00000X 472 Massachusetts

Profile Details

NPI number 1518036763
LBN Legal business name Black, Rebecca M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 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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