Joan Clark is a Professional in Milford, Connecticut. Joan Clark practices all healthcare services and medical treatments related to Professional. The NPI Number for Joan Clark is 1073531166. The last update date is 2007-07-09.
Joan Clark's current location address is 949 Bridgeport Ave, Milford, Connecticut. You can contact this provider via phone number 2038786365. The mailing address for Joan Clark is 949 Bridgeport Ave, Milford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Clark |
|---|---|
| Address | 949 Bridgeport Ave, Milford, Connecticut |
| Phone Number | 2038786365 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1073531166 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 949 Bridgeport Ave |
|---|---|
| City | Milford |
| State | Connecticut (CT) |
| Post Code | 64603142 |
| Phone Number | 2038786365 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 544 |
|
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 |
|---|---|---|---|
| 205652 | CT | MANAGED HEALTH NETWORK |
Post Comment/ Review Below
What is the unique provider identifier assigned to Joan Clark?
The Joan Clark has been issued the NPI (National Provider Identifier) 1073531166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Joan Clark is physically located?
The Joan Clark is physically situated at the following address: 949 Bridgeport Ave, Milford, CT, 64603142.
What is Joan Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Joan Clark's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date did the Joan Clark receive the assignment of its 1073531166 from the Centers for Medicare & Medicaid Services?
The Joan Clark was issued its 1073531166 by the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date were the details pertaining to Joan Clark last refreshed?
The information related to the Joan Clark, including its address, specialty, and other relevant details, was last updated on 2007-07-09.