Andrew R Clark in Los Angeles - Psychologist

Andrew R Clark - NPI 1629010533

Andrew R Clark is a Psychologist in Los Angeles, California. Andrew R Clark practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Andrew R Clark is 1629010533. The last update date is 2017-03-28.

Andrew R Clark's current location address is Po Box 511347, Los Angeles, California. You can contact this provider via phone number 6196310128 and fax number 6196310153. The mailing address for Andrew R Clark is Po Box 511347, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrew R Clark
Address Po Box 511347, Los Angeles, California
Phone Number 6196310128
Fax Number 6196310153
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1629010533
Provider Enumeration Date 2006-06-12
Last Updated Date 2017-03-28

Provider Mailing Address Detail

Address Po Box 511347
City Los Angeles
State California (CA)
Post Code 900517902
Phone Number 6196310128
Fax Number 6196310153

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PSY10061
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Andrew R Clark

What is the unique provider identifier assigned to Andrew R Clark?

The Andrew R Clark has been issued the NPI (National Provider Identifier) 1629010533 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 Andrew R Clark is physically located?

The Andrew R Clark is physically situated at the following address: Po Box 511347, Los Angeles, CA, 900517902.

What is Andrew R Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Andrew R Clark's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.

On what date did the Andrew R Clark receive its 1629010533 assignment from the Centers for Medicare & Medicaid Services?

The Andrew R Clark was assigned its 1629010533 by the Centers for Medicare & Medicaid Services on 2006-06-12.

As of what date were the Andrew R Clark's details last updated?

The information pertaining to the Andrew R Clark, including its address, specialty, and other details, was most recently updated on 2017-03-28.

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