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LISA MYERS BLACK PH.D. PLLC NPI 1942403019


NPI Information

NPI: 1942403019
Provider Name: LISA MYERS BLACK, PH.D., PLLC

Doing Business As: ALTERNATIVE BEHAVIORAL HEALTH SOLUTIONS

Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4003 24TH AVE NE
NORMAN, OK
ZIP 73071
Phone: (405) 573-4019
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LISA MYERS BLACK, PH.D., PLLC is a health service psychologist in Norman, OK. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). LISA MYERS BLACK, PH.D., PLLC NPI is 1942403019. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alternative Behavioral Health Solutions.

The provider's business location address is:

4003 24TH AVE NE
NORMAN, OK
ZIP 73071-749
Phone: (405) 573-4019
Fax: (405) 573-4074

The provider's authorized official is Lisa Myers Black .
The authorized official title is Health Service Psychologist and has the following contact phone number (405) 573-4019.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 6/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TH0100XPsychologistHealth Service1038OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200111280AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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