Dennis P Clark is a Psychologist in Dubois, Pennsylvania. Dennis P Clark practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Dennis P Clark is 1508964313. The last update date is 2007-07-08.
Dennis P Clark's current location address is 100 Caldwell Drive, Dubois, Pennsylvania. You can contact this provider via phone number 8143711100 and fax number 8143750120. The mailing address for Dennis P Clark is 100 Caldwell Drive, Dubois, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis P Clark |
|---|---|
| Address | 100 Caldwell Drive, Dubois, Pennsylvania |
| Phone Number | 8143711100 |
| Fax Number | 8143750120 |
| Sole Proprietor | N |
| Credentials | D ED |
NPI Number Detail
| NPI Number | 1508964313 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Caldwell Drive |
|---|---|
| City | Dubois |
| State | Pennsylvania (PA) |
| Post Code | 15801 |
| Phone Number | 8143711100 |
| Fax Number | 8143750120 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS006215L |
|
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 |
|---|---|---|---|
| 1300509 | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Dennis P Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Dennis P Clark has been assigned the NPI (National Provider Identifier) 1508964313. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Dennis P Clark is located?
The Dennis P Clark is situated at the following address: 100 Caldwell Drive, Dubois, PA, 15801.
What is Dennis P Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dennis P Clark's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date was the 1508964313 assigned to Dennis P Clark?
The Dennis P Clark was issued its 1508964313 on 2006-09-20, 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 pertaining to Dennis P Clark last refreshed?
The information related to the Dennis P Clark, including its address, specialty, and other relevant details, was last updated on 2007-07-08.