Alyssa G Clark is a Clinical in Athens, Georgia. Alyssa G Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alyssa G Clark is 1093867384. The last update date is 2007-07-08.
Alyssa G Clark's current location address is 1751 S Lumpkin St, Athens, Georgia. You can contact this provider via phone number 7063544204. The mailing address for Alyssa G Clark is 1751 S Lumpkin St, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alyssa G Clark |
|---|---|
| Address | 1751 S Lumpkin St, Athens, Georgia |
| Phone Number | 7063544204 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1093867384 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1751 S Lumpkin St |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306064740 |
| Phone Number | 7063544204 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY002917 |
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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 10-digit identifier code assigned to Alyssa G Clark by the Centers for Medicare & Medicaid Services?
The Alyssa G Clark has been issued the NPI (National Provider Identifier) 1093867384 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Alyssa G Clark's physical address?
The Alyssa G Clark is physically located at 1751 S Lumpkin St, in the city of Athens, GA, with the postal code 306064740.
What is the Alyssa G Clark's specialty and taxonomy code?
The Alyssa G Clark's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Alyssa G Clark receive its 1093867384 assignment?
The Alyssa G Clark was assigned its 1093867384 on 2007-01-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Alyssa G Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Alyssa G Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.