| NPI | 1619230208 |
|---|---|
| Former Legal Business Name | DAVID O BLACK PHD LLC |
| Doing Business As | CAAT |
| Entity Type | Organization |
| Authorized Contact | DAVID O BLACK Owner 240-424-0184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 04542) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical (Licence: MD 04542) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2018-07-01 |