CHRISTOPHER G BLACK

WEST LAFAYETTE, IN
NPI1821506163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: IN  20043106A)
Enumeration Date2018-01-22
Last Update Date2018-01-22
Business Address
Dr. CHRISTOPHER G BLACK Ph.D.
703 3RD ST RM 1120
WEST LAFAYETTE, IN 47907-2081
Phone number: 765-494-6995
Mailing Address
Dr. CHRISTOPHER G BLACK Ph.D.
617 DRIFTWOOD DR E APT 101
LAFAYETTE, IN 47905-6069
Phone number: 314-497-4844
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