Christy A Clark is a Clinical in Northborough, Massachusetts. Christy A Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Christy A Clark is 1760411102. The last update date is 2016-06-20.
Christy A Clark's current location address is 300 W Main St, Northborough, Massachusetts. You can contact this provider via phone number 5088562551 and fax number 5088565320. The mailing address for Christy A Clark is 300 W Main St, Northborough, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christy A Clark |
|---|---|
| Address | 300 W Main St, Northborough, Massachusetts |
| Phone Number | 5088562551 |
| Fax Number | 5088565320 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1760411102 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2016-06-20 |
Provider Mailing Address Detail
| Address | 300 W Main St |
|---|---|
| City | Northborough |
| State | Massachusetts (MA) |
| Post Code | 153221320 |
| Phone Number | 5088562551 |
| Fax Number | 5088565320 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7966 |
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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 identification code issued to Christy A Clark by the Centers for Medicare & Medicaid Services?
The Christy A Clark has been assigned the NPI (National Provider Identifier) 1760411102 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Christy A Clark is located?
The Christy A Clark is situated at the following address: 300 W Main St, Northborough, MA, 153221320.
What is the area of specialization for Christy A Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Christy A Clark is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760411102 to Christy A Clark?
The Christy A Clark received its 1760411102 assignment from the Centers for Medicare & Medicaid Services on 2006-06-30.
When was the Christy A Clark's information last updated?
The Christy A Clark's information was last updated on 2016-06-20.