Robert Roy Clark in Killingworth - Psychologist
Robert Roy Clark - NPI 1629008453
Robert Roy Clark is a Psychologist in Killingworth, Connecticut. Robert Roy Clark practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Robert Roy Clark is 1629008453. The last update date is 2007-07-09.
Robert Roy Clark's current location address is 176 Route 81, Killingworth, Connecticut. You can contact this provider via phone number 8606632668 and fax number 8606632488. The mailing address for Robert Roy Clark is 176 Route 81, Killingworth, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Roy Clark |
|---|---|
| Address | 176 Route 81, Killingworth, Connecticut |
| Phone Number | 8606632668 |
| Fax Number | 8606632488 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1629008453 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 176 Route 81 |
|---|---|
| City | Killingworth |
| State | Connecticut (CT) |
| Post Code | 641914220 |
| Phone Number | 8606632668 |
| Fax Number | 8606632488 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2170 |
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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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What is the unique provider identifier assigned to Robert Roy Clark?
The Robert Roy Clark has been issued the NPI (National Provider Identifier) 1629008453 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Robert Roy Clark located?
The Robert Roy Clark is located at 176 Route 81, Killingworth, CT 641914220.
What is Robert Roy 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 Robert Roy Clark is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Robert Roy Clark receive the assignment of its 1629008453 from the Centers for Medicare & Medicaid Services?
The Robert Roy Clark was issued its 1629008453 by the Centers for Medicare & Medicaid Services on 2006-07-04.
When was the Robert Roy Clark's information last updated?
The Robert Roy Clark's information was last updated on 2007-07-09.