William Walter Clark in Herndon - Clinical

William Walter Clark - NPI 1972716702

William Walter Clark is a Clinical in Herndon, Virginia. William Walter Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for William Walter Clark is 1972716702. The last update date is 2007-07-08.

William Walter Clark's current location address is 1514 Thurber St, Herndon, Virginia. You can contact this provider via phone number 7039049046. The mailing address for William Walter Clark is 1514 Thurber St, Herndon, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name William Walter Clark
Address 1514 Thurber St, Herndon, Virginia
Phone Number 7039049046
Fax Number
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1972716702
Provider Enumeration Date 2007-05-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1514 Thurber St
City Herndon
State Virginia (VA)
Post Code 201702565
Phone Number 7039049046
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 810002215
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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FAQs about William Walter Clark

What is the unique 10-digit identifier code assigned to William Walter Clark by the Centers for Medicare & Medicaid Services?

The William Walter Clark has been issued the NPI (National Provider Identifier) 1972716702 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where William Walter Clark's facilities are geographically located?

The facilities of William Walter Clark are physically situated at the following location: 1514 Thurber St, Herndon, VA, 201702565.

What is the William Walter Clark's area of specialization and corresponding taxonomy classification?

The William Walter Clark's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date was the 1972716702 assigned to William Walter Clark?

The William Walter Clark was issued its 1972716702 on 2007-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding William Walter Clark most recently updated?

The details pertaining to the William Walter Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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