Johnette Elisse Clark in Atchison - Clinical Child & Adolescent
Johnette Elisse Clark - NPI 1801963137
Johnette Elisse Clark is a Clinical Child & Adolescent in Atchison, Kansas. Johnette Elisse Clark practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Johnette Elisse Clark is 1801963137. The last update date is 2007-07-08.
Johnette Elisse Clark's current location address is 130 Su Terra Dr, Atchison, Kansas. You can contact this provider via phone number 9133672824. The mailing address for Johnette Elisse Clark is 130 Su Terra Dr, Atchison, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Johnette Elisse Clark |
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Address | 130 Su Terra Dr, Atchison, Kansas |
Phone Number | 9133672824 |
Fax Number | |
Sole Proprietor | N |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1801963137 |
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Provider Enumeration Date | 2006-11-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 130 Su Terra Dr |
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City | Atchison |
State | Kansas (KS) |
Post Code | 660021023 |
Phone Number | 9133672824 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical Child & Adolescent |
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Taxonomy | 103Tc2200X |
Licence No | LP 1021 |
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identification code issued to Johnette Elisse Clark by the Centers for Medicare & Medicaid Services?
The Johnette Elisse Clark has been assigned the NPI (National Provider Identifier) 1801963137 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Johnette Elisse Clark is located?
The Johnette Elisse Clark is situated at the following address: 130 Su Terra Dr, Atchison, KS, 660021023.
What is Johnette Elisse Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Johnette Elisse Clark is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
On what date did the Johnette Elisse Clark receive the assignment of its 1801963137 from the Centers for Medicare & Medicaid Services?
The Johnette Elisse Clark was issued its 1801963137 by the Centers for Medicare & Medicaid Services on 2006-11-30.
As of what date was the information regarding Johnette Elisse Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Johnette Elisse Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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