Terrell A Clark in Bolton - Clinical Child & Adolescent
Terrell A Clark - NPI 1043283724
Terrell A Clark is a Clinical Child & Adolescent in Bolton, Massachusetts. Terrell A Clark practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Terrell A Clark is 1043283724. The last update date is 2007-07-08.
Terrell A Clark's current location address is 34 Meadow Rd, Bolton, Massachusetts. You can contact this provider via phone number 9787796133. The mailing address for Terrell A Clark is 34 Meadow Rd, Bolton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Terrell A Clark |
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Address | 34 Meadow Rd, Bolton, Massachusetts |
Phone Number | 9787796133 |
Fax Number | |
Sole Proprietor | X |
Credentials | PHD |
NPI Number Detail
NPI Number | 1043283724 |
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Provider Enumeration Date | 2006-02-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 34 Meadow Rd |
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City | Bolton |
State | Massachusetts (MA) |
Post Code | 17401120 |
Phone Number | 9787796133 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical Child & Adolescent |
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Taxonomy | 103Tc2200X |
Licence No | 2856 |
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 |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Terrell A Clark by the Centers for Medicare & Medicaid Services?
The Terrell A Clark has been assigned the NPI (National Provider Identifier) 1043283724 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Terrell A Clark?
The Terrell A Clark is physically situated at 34 Meadow Rd, in the city of Bolton, state of MA, with the postal code 17401120.
What is Terrell A Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Terrell A Clark's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date did the Terrell A Clark receive its 1043283724 assignment from the Centers for Medicare & Medicaid Services?
The Terrell A Clark was assigned its 1043283724 by the Centers for Medicare & Medicaid Services on 2006-02-11.
When was the information pertaining to Terrell A Clark most recently updated or revised?
The details related to Terrell A Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.