Gregory Clark in Prairie Du Chien - Mental Health
Gregory Clark - NPI 1164409728
Gregory Clark is a Mental Health in Prairie Du Chien, Wisconsin. Gregory Clark practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Gregory Clark is 1164409728. The last update date is 2007-07-08.
Gregory Clark's current location address is 225 N Beaumont Rd, Prairie Du Chien, Wisconsin. You can contact this provider via phone number 5632522537 and fax number 6083260420. The mailing address for Gregory Clark is 225 N Beaumont Rd, Prairie Du Chien, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Clark |
|---|---|
| Address | 225 N Beaumont Rd, Prairie Du Chien, Wisconsin |
| Phone Number | 5632522537 |
| Fax Number | 6083260420 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1164409728 |
|---|---|
| Provider Enumeration Date | 2005-12-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 225 N Beaumont Rd |
|---|---|
| City | Prairie Du Chien |
| State | Wisconsin (WI) |
| Post Code | 538211445 |
| Phone Number | 5632522537 |
| Fax Number | 6083260420 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 2888-125 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gregory Clark by the Centers for Medicare & Medicaid Services?
The Gregory Clark has been assigned the NPI (National Provider Identifier) 1164409728 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gregory Clark?
The Gregory Clark is situated at 225 N Beaumont Rd, in the city of Prairie Du Chien, state of WI, with the zip code 538211445.
What is the Gregory Clark's specialty and taxonomy code?
The Gregory Clark's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164409728 to Gregory Clark?
The Centers for Medicare & Medicaid Services assigned the 1164409728 to Gregory Clark on 2005-12-26.
When was the information related to Gregory Clark most recently updated or refreshed?
The details pertaining to the Gregory Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO