IndividualActive
Conner Black, PHD
NPI 1700652948 · Psychologist · Riverside, RI
Provider details
- NPI number
- 1700652948
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Practice location
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Phone: (401) 432-1000
Fax: (401) 432-1500
Approximate (ZIP-level) locationGet directions
Mailing address
21 Bloomingdale Rd
White Plains, NY 10605-1504
Registry dates
- Enumerated
- 2023-11-29
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.