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Ms. Sionag M Black, PHD
Clinical Psychologist in Beaver Dam, Wisconsin
NPI 1821049412

Sionag M Black is a Clinical Psychologist based in Beaver Dam, WI and is specialized in Clinical. Sionag M Black practices in Beaver Dam, WI and has the professional credentials of PHD. The NPI Number for Sionag M Black is 1821049412 and holds a License No. 1012057 (Wisconsin).

The current practice location address for Sionag M Black is 200 Front Street, Beaver Dam, WI and can be reached out via phone at 920-885-2780 and via fax at 920-885-2788.

Location: 200 Front Street, Beaver Dam, WI, 53916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821049412
Provider Name
Sionag M Black
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
200 Front Street, Beaver Dam, WI, 53916
Phone Number
920-885-2780
Fax Number
920-885-2788
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39077100 05 WI
institution
Provider Business Practice Location Address Details
Address
200 Front Street
City
Beaver Dam
State
Wisconsin
Zip
53916
Phone Number
920-885-2780
Fax Number
920-885-2788
person
Provider Business Mailing Address Details
Address
200 Front Street
City
Beaver Dam
State
Wisconsin
Zip
53916
Phone Number
920-885-2780
Fax Number
920-885-2788
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1012057 (Wisconsin)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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