Stacy Clark is a Counselor in Springfield, Massachusetts. Stacy Clark practices all healthcare services and medical treatments related to Counselor. The NPI Number for Stacy Clark is 1619145497. The last update date is 2008-02-14.
Stacy Clark's current location address is 367 Pine St, Springfield, Massachusetts. You can contact this provider via phone number 4133731426 and fax number 4137394599. The mailing address for Stacy Clark is 367 Pine St, Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacy Clark |
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Address | 367 Pine St, Springfield, Massachusetts |
Phone Number | 4133731426 |
Fax Number | 4137394599 |
Sole Proprietor | Y |
Credentials | MED |
NPI Number Detail
NPI Number | 1619145497 |
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Provider Enumeration Date | 2008-02-14 |
Last Updated Date | 2008-02-14 |
Provider Mailing Address Detail
Address | 367 Pine St |
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City | Springfield |
State | Massachusetts (MA) |
Post Code | 11051930 |
Phone Number | 4133731426 |
Fax Number | 4137394599 |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code assigned to Stacy Clark by the Centers for Medicare & Medicaid Services?
The Stacy Clark has been issued the NPI (National Provider Identifier) 1619145497, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Stacy Clark is located?
The Stacy Clark is situated at the following address: 367 Pine St, Springfield, MA, 11051930.
What is the area of specialization for Stacy Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacy Clark is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619145497 to Stacy Clark?
The Stacy Clark received its 1619145497 assignment from the Centers for Medicare & Medicaid Services on 2008-02-14.
As of what date were the Stacy Clark's details last updated?
The information pertaining to the Stacy Clark, including its address, specialty, and other details, was most recently updated on 2008-02-14.