Maria G Clark is a Professional in Tempe, Arizona. Maria G Clark practices all healthcare services and medical treatments related to Professional. The NPI Number for Maria G Clark is 1750442596. The last update date is 2015-10-13.
Maria G Clark's current location address is 1400 E Southern Ave, Tempe, Arizona. You can contact this provider via phone number 4808040326 and fax number 4803027884. The mailing address for Maria G Clark is 1400 E Southern Ave, Tempe, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria G Clark |
|---|---|
| Address | 1400 E Southern Ave, Tempe, Arizona |
| Phone Number | 4808040326 |
| Fax Number | 4803027884 |
| Sole Proprietor | N |
| Credentials | LPC, LISAC |
NPI Number Detail
| NPI Number | 1750442596 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2015-10-13 |
Provider Mailing Address Detail
| Address | 1400 E Southern Ave |
|---|---|
| City | Tempe |
| State | Arizona (AZ) |
| Post Code | 852825691 |
| Phone Number | 4808040326 |
| Fax Number | 4803027884 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LISAC-10628 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 559377 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Maria G Clark by the Centers for Medicare & Medicaid Services?
The Maria G Clark has been assigned the NPI (National Provider Identifier) 1750442596 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Maria G Clark's facilities are geographically located?
The facilities of Maria G Clark are physically situated at the following location: 1400 E Southern Ave, Tempe, AZ, 852825691.
What is Maria G Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Maria G Clark is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750442596 to Maria G Clark?
The Maria G Clark received its 1750442596 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
As of what date was the information pertaining to Maria G Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Maria G Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-10-13.