IndividualActive
Spencer Black, MD
NPI 1053842914 · Child & Adolescent Psychiatry Physician · Lehi, UT
Provider details
- NPI number
- 1053842914
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12759564-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2250 N Miller Campus Dr
Lehi, UT 84043-7233
Phone: (859) 313-7711
Fax: (385) 531-1805
Approximate (ZIP-level) locationGet directions
Mailing address
295 S Chipeta Way
Salt Lake City, UT 84108-1287
Registry dates
- Enumerated
- 2017-03-22
- Last updated
- 2024-02-20
- Certified
- 2024-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.