Jeffrey Paul Clark in Rochester - Clinical
Jeffrey Paul Clark - NPI 1003979600
Jeffrey Paul Clark is a Clinical in Rochester, Minnesota. Jeffrey Paul Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey Paul Clark is 1003979600. The last update date is 2007-07-08.
Jeffrey Paul Clark's current location address is 1926 26th Ave Nw, Rochester, Minnesota. You can contact this provider via phone number 5072612777. The mailing address for Jeffrey Paul Clark is 1926 26th Ave Nw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Paul Clark |
|---|---|
| Address | 1926 26th Ave Nw, Rochester, Minnesota |
| Phone Number | 5072612777 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1003979600 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1926 26th Ave Nw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559018064 |
| Phone Number | 5072612777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP3310 |
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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 provider identifier assigned to Jeffrey Paul Clark?
The Jeffrey Paul Clark has been issued the NPI (National Provider Identifier) 1003979600 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 Jeffrey Paul Clark's facilities are situated?
The facilities of Jeffrey Paul Clark are physically located at the following address: 1926 26Th Ave Nw, Rochester, MN, 559018064.
What is Jeffrey Paul Clark's area of expertise and its corresponding taxonomy classification?
The Jeffrey Paul Clark's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jeffrey Paul Clark receive its 1003979600 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Paul Clark was assigned its 1003979600 by the Centers for Medicare & Medicaid Services on 2006-12-18.
When was the information pertaining to Jeffrey Paul Clark most recently updated or revised?
The details related to Jeffrey Paul Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.