Michael William Clarke in Chico - Psychologist

Michael William Clarke - NPI 1023167939

Michael William Clarke is a Psychologist in Chico, California. Michael William Clarke practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael William Clarke is 1023167939. The last update date is 2018-08-28.

Michael William Clarke's current location address is 845 W East Ave, Chico, California. You can contact this provider via phone number 5308969400 and fax number 5308793352. The mailing address for Michael William Clarke is 845 W East Ave, Chico, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael William Clarke
Address 845 W East Ave, Chico, California
Phone Number 5308969400
Fax Number 5308793352
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1023167939
Provider Enumeration Date 2007-01-09
Last Updated Date 2018-08-28

Provider Mailing Address Detail

Address 845 W East Ave
City Chico
State California (CA)
Post Code 959262002
Phone Number 5308969400
Fax Number 5308793352

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PSY15252
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PSY 15252 CA BOARD OF PSYCHOLOGY
MFT 20870 CA BOARD OF BSE

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FAQs about Michael William Clarke

What is the unique 10-digit identifier code assigned to Michael William Clarke by the Centers for Medicare & Medicaid Services?

The Michael William Clarke has been issued the NPI (National Provider Identifier) 1023167939 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Michael William Clarke's facilities are geographically located?

The facilities of Michael William Clarke are physically situated at the following location: 845 W East Ave, Chico, CA, 959262002.

What is the Michael William Clarke's specialty and taxonomy code?

The Michael William Clarke's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.

On what date was the 1023167939 assigned to Michael William Clarke?

The Michael William Clarke was issued its 1023167939 on 2007-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Michael William Clarke most recently updated or revised?

The information pertaining to Michael William Clarke, including its address, specialty, and other relevant details, was last updated or revised on 2018-08-28.

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