Katherine Travis Clark in Clinton - Psychologist
Katherine Travis Clark - NPI 1548458680
Katherine Travis Clark is a Psychologist in Clinton, Mississippi. Katherine Travis Clark practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Katherine Travis Clark is 1548458680. The last update date is 2007-10-12.
Katherine Travis Clark's current location address is Po Box 2332, Clinton, Mississippi. You can contact this provider via phone number 6013832998 and fax number 6019247491. The mailing address for Katherine Travis Clark is Po Box 2332, Clinton, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Travis Clark |
|---|---|
| Address | Po Box 2332, Clinton, Mississippi |
| Phone Number | 6013832998 |
| Fax Number | 6019247491 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1548458680 |
|---|---|
| Provider Enumeration Date | 2007-10-12 |
| Last Updated Date | 2007-10-12 |
Provider Mailing Address Detail
| Address | Po Box 2332 |
|---|---|
| City | Clinton |
| State | Mississippi (MS) |
| Post Code | 390602332 |
| Phone Number | 6013832998 |
| Fax Number | 6019247491 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 33-522 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4587367 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Katherine Travis Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Katherine Travis Clark has been assigned the NPI (National Provider Identifier) 1548458680. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Katherine Travis Clark is physically located?
The Katherine Travis Clark is situated at the following address: Po Box 2332, Clinton, MS 390602332.
What is Katherine Travis Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Katherine Travis Clark is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
When was the Katherine Travis Clark's 1548458680 issued?
The Katherine Travis Clark's 1548458680 was issued on 2007-10-12.
As of what date was the information regarding Katherine Travis Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Katherine Travis Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-12.
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