Jeffrey P. Clark is a Clinical in Sheridan, . Jeffrey P. Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey P. Clark is 1063403822. The last update date is 2007-07-08.
Jeffrey P. Clark's current location address is 339 W Loucks St, Sheridan, . You can contact this provider via phone number 3076744462 and fax number 3076744552. The mailing address for Jeffrey P. Clark is 339 W Loucks St, Sheridan, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey P. Clark |
|---|---|
| Address | 339 W Loucks St, Sheridan, |
| Phone Number | 3076744462 |
| Fax Number | 3076744552 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1063403822 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 339 W Loucks St |
|---|---|
| City | Sheridan |
| State | (WY) |
| Post Code | 828014121 |
| Phone Number | 3076744462 |
| Fax Number | 3076744552 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 409 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Jeffrey P. Clark by the Centers for Medicare & Medicaid Services?
The Jeffrey P. Clark has been assigned the NPI (National Provider Identifier) 1063403822 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jeffrey P. Clark's facilities are geographically located?
The facilities of Jeffrey P. Clark are physically situated at the following location: 339 W Loucks St, Sheridan, WY, 828014121.
What is Jeffrey P. 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 Jeffrey P. Clark is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did Jeffrey P. Clark receive its 1063403822 assignment?
The Jeffrey P. Clark was assigned its 1063403822 on 2005-11-02, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jeffrey P. Clark most recently updated or revised?
The details related to Jeffrey P. Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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