| Doctor Name: | MS. RANDI MCALLISTER BLACK |
| NPI Number: | 1144328873 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PSY11499 |
| Business Practice Address: | 1500 E Duarte Rd Duarte, CA - 91010 |
| Business Phone Number: | 6263598111 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5063, MONROVIA |
| State: | CA |
| Postal Code: | 910177163 |
| Phone Number: | 6267753200 |
| Fax Number: | 6267753271 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0804X |
| License Number: | PSY11499 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Child & Adolescent Psychiatry |
| Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |