Laura Kathleen Clark in Blacksburg - Clinical
Laura Kathleen Clark - NPI 1477608867
Laura Kathleen Clark is a Clinical in Blacksburg, Virginia. Laura Kathleen Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laura Kathleen Clark is 1477608867. The last update date is 2007-07-08.
Laura Kathleen Clark's current location address is 3464 Spur St, Blacksburg, Virginia. You can contact this provider via phone number 5409512872. The mailing address for Laura Kathleen Clark is 3464 Spur St, Blacksburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Kathleen Clark |
|---|---|
| Address | 3464 Spur St, Blacksburg, Virginia |
| Phone Number | 5409512872 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1477608867 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3464 Spur St |
|---|---|
| City | Blacksburg |
| State | Virginia (VA) |
| Post Code | 240608750 |
| Phone Number | 5409512872 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810001506 |
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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 |
|---|---|---|---|
| 7755023 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Laura Kathleen Clark by the Centers for Medicare & Medicaid Services?
The Laura Kathleen Clark has been assigned the NPI (National Provider Identifier) 1477608867. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Laura Kathleen Clark is located?
The Laura Kathleen Clark is situated at the following address: 3464 Spur St, Blacksburg, VA, 240608750.
What is the area of specialization for Laura Kathleen Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Laura Kathleen 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 1477608867 to Laura Kathleen Clark?
The Laura Kathleen Clark received its 1477608867 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.
As of what date were the Laura Kathleen Clark's details last updated?
The information pertaining to the Laura Kathleen Clark, including its address, specialty, and other details, was most recently updated on 2007-07-08.