| Conner James Black, PHD | |
|
1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | |
| (401) 432-1000 | |
| (401) 432-1500 |
| Full Name | Conner James Black |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 1011 Veterans Memorial Pkwy, Riverside, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700652948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PS02300 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Conner James Black, PHD 21 Bloomingdale Rd, White Plains, NY 10605-1504 Ph: () - | Conner James Black, PHD 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 Ph: (401) 432-1000 |
Dr. Vamsi C Tummalachetty, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 | |
Dr. Andrea Lillian Gold, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500 | |
Kathryn A Simon, Psychologist Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 | |
David Lichtenstein, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 | |
Bryana Elizabeth Killion, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1618 | |
Dr. Lisa Faille, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2 Village Grn N Apt C, Riverside, RI 02915 Phone: 401-481-1914 | |
James Andrew Brcak, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500 |