Clark Psychological & Consultation Pc in Lufkin - Psychologist
Clark Psychological & Consultation Pc - NPI 1841284155
Clark Psychological & Consultation Pc is a Psychologist in Lufkin, Texas. Clark Psychological & Consultation Pc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Clark Psychological & Consultation Pc is 1841284155. The last update date is 2020-08-22.
Clark Psychological & Consultation Pc's current location address is 501 Mantooth Ave, Lufkin, Texas. You can contact this provider via phone number 9366394993 and fax number 9366396838. The mailing address for Clark Psychological & Consultation Pc is 501 Mantooth Ave, Lufkin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clark Psychological & Consultation Pc |
|---|---|
| Address | 501 Mantooth Ave, Lufkin, Texas |
| Phone Number | 9366394993 |
| Fax Number | 9366396838 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS M |
|---|---|
| Authorized Official Name | Clark Alan |
| Credentials | M.ED. |
| Telephone Number | 9366394993 |
NPI Number Detail
| NPI Number | 1841284155 |
|---|---|
| Provider Enumeration Date | 2005-09-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 501 Mantooth Ave |
|---|---|
| City | Lufkin |
| State | Texas (TX) |
| Post Code | 759043014 |
| Phone Number | 9366394993 |
| Fax Number | 9366396838 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 22932 |
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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 Clark Psychological & Consultation Pc's 1841284155?
The Clark Psychological & Consultation Pc's NPI (National Provider Identifier) Number is 1841284155. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Clark Psychological & Consultation Pc's facilities are geographically located?
The facilities of Clark Psychological & Consultation Pc are physically situated at the following location: 501 Mantooth Ave, Lufkin, TX, 759043014.
What is the area of specialization for Clark Psychological & Consultation Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clark Psychological & Consultation Pc is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Clark Psychological & Consultation Pc receive its 1841284155 assignment from the Centers for Medicare & Medicaid Services?
The Clark Psychological & Consultation Pc was assigned its 1841284155 by the Centers for Medicare & Medicaid Services on 2005-09-01.
As of what date were the Clark Psychological & Consultation Pc's details last updated?
The information pertaining to the Clark Psychological & Consultation Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.