JOHN W BLACK

GEORGETOWN, KY
NPI1457401945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: KY  423)
Enumeration Date2007-01-10
Last Update Date2007-07-09
Business Address
-- JOHN W BLACK MS, LPA
110 ROACH ST
GEORGETOWN, KY 40324-9393
Phone number: 859-253-1686
Mailing Address
-- JOHN W BLACK MS, LPA
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1217
Phone number: 859-253-1686