Heather Jordon Clark in Fort Lauderdale - Clinical
Heather Jordon Clark - NPI 1073799938
Heather Jordon Clark is a Clinical in Fort Lauderdale, Florida. Heather Jordon Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Heather Jordon Clark is 1073799938. The last update date is 2023-06-26.
Heather Jordon Clark's current location address is 2124 Ne 65th St, Fort Lauderdale, Florida. You can contact this provider via phone number 7548002345. The mailing address for Heather Jordon Clark is 2124 Ne 65th St, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Jordon Clark |
|---|---|
| Address | 2124 Ne 65th St, Fort Lauderdale, Florida |
| Phone Number | 7548002345 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1073799938 |
|---|---|
| Provider Enumeration Date | 2008-01-10 |
| Last Updated Date | 2023-06-26 |
Provider Mailing Address Detail
| Address | 2124 Ne 65th St |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333081010 |
| Phone Number | 7548002345 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY7620 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Heather Jordon Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Heather Jordon Clark has been assigned the NPI (National Provider Identifier) 1073799938. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Heather Jordon Clark is geographically located?
The Heather Jordon Clark is physically situated at the following location: 2124 Ne 65Th St, Fort Lauderdale, FL, 333081010.
What is Heather Jordon Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heather Jordon Clark's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Heather Jordon Clark receive its 1073799938 assignment?
The Heather Jordon Clark was assigned its 1073799938 on 2008-01-10, which is the date when this unique identifier was issued to the organization.
When was the Heather Jordon Clark's information last updated?
The Heather Jordon Clark's information was last updated on 2023-06-26.