IndividualActive
David Black, PSY.D., LCSW
NPI 1386640159 · Health Service Psychologist · Springfield, MO
Provider details
- NPI number
- 1386640159
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D., LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 2001004284 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1531 E Bradford Pkwy
Ste 210-4
Springfield, MO 65804-6566
Phone: (417) 890-4083
Fax: (417) 890-4091
Approximate (ZIP-level) locationGet directions
Mailing address
1531 E Bradford Pkwy
Springfield, MO 65804-6566
Registry dates
- Enumerated
- 2005-06-24
- Last updated
- 2011-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.