Heather Jordon Clark Phd Llc in Pompano Beach - Clinical
Heather Jordon Clark Phd Llc - NPI 1740456300
Heather Jordon Clark Phd Llc is a Clinical in Pompano Beach, Florida. Heather Jordon Clark Phd Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Heather Jordon Clark Phd Llc is 1740456300. The last update date is 2010-09-20.
Heather Jordon Clark Phd Llc's current location address is 600 Sw 3rd St, Pompano Beach, Florida. You can contact this provider via phone number 9549608900 and fax number 9549608888. The mailing address for Heather Jordon Clark Phd Llc is 600 Sw 3rd St, Pompano Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heather Jordon Clark Phd Llc |
|---|---|
| Address | 600 Sw 3rd St, Pompano Beach, Florida |
| Phone Number | 9549608900 |
| Fax Number | 9549608888 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clark Jordon Heather |
| Credentials | PH.D. |
| Telephone Number | 9549608900 |
NPI Number Detail
| NPI Number | 1740456300 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2010-09-20 |
Provider Mailing Address Detail
| Address | 600 Sw 3rd St |
|---|---|
| City | Pompano Beach |
| State | Florida (FL) |
| Post Code | 330606932 |
| Phone Number | 9549608900 |
| Fax Number | 9549608888 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY 7620 |
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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 Heather Jordon Clark Phd Llc's 1740456300?
The Heather Jordon Clark Phd Llc's NPI (National Provider Identifier) Number is 1740456300. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Heather Jordon Clark Phd Llc's facilities are situated?
The facilities of Heather Jordon Clark Phd Llc are physically located at the following address: 600 Sw 3Rd St, Pompano Beach, FL, 330606932.
What is Heather Jordon Clark Phd Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heather Jordon Clark Phd Llc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740456300 to Heather Jordon Clark Phd Llc?
The Centers for Medicare & Medicaid Services assigned the 1740456300 to Heather Jordon Clark Phd Llc on 2008-05-05.
As of what date was the information regarding Heather Jordon Clark Phd Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Heather Jordon Clark Phd Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-09-20.