Alice Ann Clark is a Clinical in Stowe, Vermont. Alice Ann Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alice Ann Clark is 1598813073. The last update date is 2010-12-01.
Alice Ann Clark's current location address is Po Box 458, Stowe, Vermont. You can contact this provider via phone number 8025850297. The mailing address for Alice Ann Clark is Po Box 458, Stowe, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice Ann Clark |
|---|---|
| Address | Po Box 458, Stowe, Vermont |
| Phone Number | 8025850297 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1598813073 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2010-12-01 |
Provider Mailing Address Detail
| Address | Po Box 458 |
|---|---|
| City | Stowe |
| State | Vermont (VT) |
| Post Code | 56720458 |
| Phone Number | 8025850297 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7094 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W06Z86 | MA | BCBS |
Post Comment/ Review Below
What is the Alice Ann Clark's 1598813073?
The Alice Ann Clark's NPI (National Provider Identifier) Number is 1598813073. 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 address where Alice Ann Clark is geographically located?
The Alice Ann Clark is physically situated at the following location: Po Box 458, Stowe, VT, 56720458.
What is Alice Ann Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Alice Ann Clark's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Alice Ann Clark receive its 1598813073 assignment from the Centers for Medicare & Medicaid Services?
The Alice Ann Clark was assigned its 1598813073 by the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date were the details related to Alice Ann Clark most recently updated or revised?
The information pertaining to Alice Ann Clark, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-01.
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