Matthew David Ayer Clark in Caledonia - Clinical
Matthew David Ayer Clark - NPI 1811001126
Matthew David Ayer Clark is a Clinical in Caledonia, Michigan. Matthew David Ayer Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Matthew David Ayer Clark is 1811001126. The last update date is 2019-01-16.
Matthew David Ayer Clark's current location address is 7150 Kalamazoo Ave Se, Caledonia, Michigan. You can contact this provider via phone number 6166905437 and fax number 6168256225. The mailing address for Matthew David Ayer Clark is 7150 Kalamazoo Ave Se, Caledonia, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew David Ayer Clark |
|---|---|
| Address | 7150 Kalamazoo Ave Se, Caledonia, Michigan |
| Phone Number | 6166905437 |
| Fax Number | 6168256225 |
| Sole Proprietor | Y |
| Credentials | PSY.D., FL |
NPI Number Detail
| NPI Number | 1811001126 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2019-01-16 |
Provider Mailing Address Detail
| Address | 7150 Kalamazoo Ave Se |
|---|---|
| City | Caledonia |
| State | Michigan (MI) |
| Post Code | 493169126 |
| Phone Number | 6166905437 |
| Fax Number | 6168256225 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301013305 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D16189090 | MI | MEDICARE | |
| 897749 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Matthew David Ayer Clark?
The Matthew David Ayer Clark has been issued the NPI (National Provider Identifier) 1811001126 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Matthew David Ayer Clark's facilities are situated?
The facilities of Matthew David Ayer Clark are physically located at the following address: 7150 Kalamazoo Ave Se, Caledonia, MI, 493169126.
What is Matthew David Ayer Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Matthew David Ayer Clark's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Matthew David Ayer Clark receive its 1811001126 assignment from the Centers for Medicare & Medicaid Services?
The Matthew David Ayer Clark was assigned its 1811001126 by the Centers for Medicare & Medicaid Services on 2006-08-17.
As of what date were the details related to Matthew David Ayer Clark most recently updated or revised?
The information pertaining to Matthew David Ayer Clark, including its address, specialty, and other relevant details, was last updated or revised on 2019-01-16.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN