person
Thomas C Black, APRN,MSN
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in New Haven, Connecticut
NPI 1417078122

Thomas C Black is a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist based in New Haven, CT and is specialized in Psychiatric/Mental Health, Child & Adolescent. Thomas C Black practices in New Haven, CT and has the professional credentials of APRN,MSN. The NPI Number for Thomas C Black is 1417078122 and holds a License No. 003424 (Connecticut).

The current practice location address for Thomas C Black is 800 Howard Ave, New Haven, CT and can be reached out via phone at 203-785-2140 and via fax at 203-785-6414.

Location: 800 Howard Ave, New Haven, CT, 06536-0805
person
Provider Profile Details
NPI Number
1417078122
Provider Name
Thomas C Black
Credential
APRN,MSN
Provider Entity Type
Individual
Gender
Male
Address
800 Howard Ave, New Haven, CT, 06536-0805
Phone Number
203-785-2140
Fax Number
203-785-6414
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 Howard Ave
City
State
Zip
06519-1369
Phone Number
203-785-2140
Fax Number
203-785-6414
person
Provider Business Mailing Address Details
Address
800 Howard Ave
City
State
Zip
06519-1369
Phone Number
203-785-2140
Fax Number
203-785-6414
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
003424 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
003424 (Connecticut)
Definition
Definition to come...
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