Active NPIIndividual providerSole proprietor

Dr. Brenda P Black, PHD

Psychologist, Clinical in Hingham, Massachusetts

NPI Number1578619201
Practice location
12 Whitcomb Ave, Hingham, MA 02043-3385
Fax
781-740-1320
Last updated
July 8, 2007

Brenda Pollara Black is a Psychologist, Clinical based in Hingham, MA. Brenda Pollara Black practices in Hingham, MA and has the professional credentials of PHD. The NPI Number for Brenda Pollara Black is 1578619201 and holds a License No. 4444 (MA). The current practice location address for Brenda Pollara Black is 12 Whitcomb Ave, Hingham, MA 02043-3385 and can be reached out via phone at 781-740-1128 and via fax at 781-740-1320.

Provider Profile Details

NPI Number
1578619201
Provider Name
Brenda Pollara Black
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
12 Whitcomb Ave, Hingham, MA 02043-3385
Phone Number
781-740-1128
Fax Number
781-740-1320
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Whitcomb Ave
Hingham, MA 02043-3385
Zip
02043-3385
Phone Number
781-740-1128
Fax Number
781-740-1320
Hingham, MA 02043Get directions →

Provider Business Mailing Address Details

Address
12 Whitcomb Ave
Hingham, MA 02043-3385
City
Hingham
State
MA
Zip
02043-3385
Phone Number
781-740-1128
Fax Number
781-740-1320

License Information

License Number
4444
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Brenda P Black, PHD?

The NPI number of Dr. Brenda P Black, PHD is 1578619201. It was assigned on January 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Brenda P Black, PHD?

Dr. Brenda P Black, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 4444.

Where does Dr. Brenda P Black, PHD practice?

The practice location is 12 Whitcomb Ave, Hingham, MA 02043-3385. The office can be reached at 781-740-1128 (phone) or 781-740-1320 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578619201 directly on the NPPES registry website.

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