| John W Black Jr, MS, LPA | |
|
110 Roach St, Georgetown, KY 40324-9393 | |
| (859) 253-1686 | |
| (859) 254-2743 |
| Full Name | John W Black Jr |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 110 Roach St, Georgetown, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457401945 | NPI | - | NPPES |
| 30615058 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 423 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John W Black Jr, MS, LPA 1351 Newtown Pike, Lexington, KY 40511-1217 Ph: (859) 253-1686 | John W Black Jr, MS, LPA 110 Roach St, Georgetown, KY 40324-9393 Ph: (859) 253-1686 |
Genie A Mcfall, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Roach St, Georgetown, KY 40324 Phone: 859-253-1686 Fax: 859-254-2743 | |
Mable Rowe Lineberger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 E College St, #1, Georgetown, KY 40324 Phone: 502-570-8400 Fax: 502-570-9221 | |
Erica Lynn Vice Pristas, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2689 Frankfort Rd, Georgetown, KY 40324 Phone: 859-537-9779 Fax: 859-868-9312 | |
Shon L Goodwin, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 112 Haney Ct, Georgetown, KY 40324 Phone: 502-867-2287 Fax: 866-924-1957 |