NPI 1003392119

Shelia Denise Black

Practitioner Developmental Disabilities Clinic/Center Greenville, MS

Practice location

Address: 564 Cypress Ln APT 26d, Greenville, MS 38701-7425
Phone: (662) 347-3616

Registered specialties

Developmental Disabilities Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD1600X

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1003392119
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2018
Record last updated: 12 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.