CARLA MARIE BLACK

INDIANAPOLIS, IN
NPI1124473749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: IN  01087770A)
Additional Taxonomies208000000X Pediatrics
(Licence: IN  01087770A)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  310168)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-05-02
Last Update Date2022-06-07
Business Address
CARLA MARIE BLACK M.D.
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN 46278-2014
Phone number: 317-295-0608
Mailing Address
CARLA MARIE BLACK M.D.
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: