David B Clark in Chesterfield - Psychologist

David B Clark - NPI 1275614083

David B Clark is a Psychologist in Chesterfield, Missouri. David B Clark practices all healthcare services and medical treatments related to Psychologist. The NPI Number for David B Clark is 1275614083. The last update date is 2007-07-09.

David B Clark's current location address is 16216 Baxter Rd, Chesterfield, Missouri. You can contact this provider via phone number 6365378222 and fax number 6365378223. The mailing address for David B Clark is 16216 Baxter Rd, Chesterfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name David B Clark
Address 16216 Baxter Rd, Chesterfield, Missouri
Phone Number 6365378222
Fax Number 6365378223
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1275614083
Provider Enumeration Date 2006-10-18
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 16216 Baxter Rd
City Chesterfield
State Missouri (MO)
Post Code 630174770
Phone Number 6365378222
Fax Number 6365378223

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 939
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 David B Clark

What is the unique identifier code issued to David B Clark by the Centers for Medicare & Medicaid Services (CMS)?

The David B Clark has been assigned the NPI (National Provider Identifier) 1275614083. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where David B Clark is physically located?

The David B Clark is physically situated at the following address: 16216 Baxter Rd, Chesterfield, MO, 630174770.

What is the David B Clark's area of specialization and corresponding taxonomy classification?

The David B Clark's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.

On what date did the David B Clark receive its 1275614083 assignment from the Centers for Medicare & Medicaid Services?

The David B Clark was assigned its 1275614083 by the Centers for Medicare & Medicaid Services on 2006-10-18.

As of what date was the information pertaining to David B Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to David B Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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