Clark Institute is a Psychologist in Freehold, New Jersey. Clark Institute practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Clark Institute is 1174665681. The last update date is 2018-10-09.
Clark Institute's current location address is 3303 Applewood Drive, Freehold, New Jersey. You can contact this provider via phone number 7324311514 and fax number 6093950120. The mailing address for Clark Institute is 3303 Applewood Drive, Freehold, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clark Institute |
|---|---|
| Address | 3303 Applewood Drive, Freehold, New Jersey |
| Phone Number | 7324311514 |
| Fax Number | 6093950120 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Clark J Barbara |
| Credentials | PHD, FAPA |
| Telephone Number | 7324311514 |
NPI Number Detail
| NPI Number | 1174665681 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2018-10-09 |
Provider Mailing Address Detail
| Address | 3303 Applewood Drive |
|---|---|
| City | Freehold |
| State | New Jersey (NJ) |
| Post Code | 77284922 |
| Phone Number | 7324311514 |
| Fax Number | 6093950120 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 182788 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 106486 | APSA | ||
| 1706 | APH | ||
| 83704 | NAAP | ||
| 999012391 | ACH |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clark Institute by the Centers for Medicare & Medicaid Services?
The Clark Institute has been assigned the NPI (National Provider Identifier) 1174665681 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Clark Institute?
The Clark Institute is situated at 3303 Applewood Drive, in the city of Freehold, state of NJ, with the zip code 77284922.
What is the area of specialization for Clark Institute, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clark Institute is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174665681 to Clark Institute?
The Centers for Medicare & Medicaid Services originally issued the 1174665681 to Clark Institute on 2007-02-12.
When was the information pertaining to Clark Institute most recently updated or revised?
The details related to Clark Institute, including its address, specialty, and other relevant information, were last updated or revised on 2018-10-09.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC