Susan Elizabeth Clark in San Diego - Clinical
Susan Elizabeth Clark - NPI 1902072911
Susan Elizabeth Clark is a Clinical in San Diego, California. Susan Elizabeth Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Elizabeth Clark is 1902072911. The last update date is 2008-04-30.
Susan Elizabeth Clark's current location address is 3020 Childrens Way # Mc5014, San Diego, California. You can contact this provider via phone number 8585761700 and fax number 8582782365. The mailing address for Susan Elizabeth Clark is 3020 Childrens Way # Mc5014, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Elizabeth Clark |
|---|---|
| Address | 3020 Childrens Way # Mc5014, San Diego, California |
| Phone Number | 8585761700 |
| Fax Number | 8582782365 |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1902072911 |
|---|---|
| Provider Enumeration Date | 2008-04-30 |
| Last Updated Date | 2008-04-30 |
Provider Mailing Address Detail
| Address | 3020 Childrens Way # Mc5014 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921234223 |
| Phone Number | 8585761700 |
| Fax Number | 8582782365 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSB33147 |
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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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What is the unique 10-digit identifier code issued to Susan Elizabeth Clark by the Centers for Medicare & Medicaid Services?
The Susan Elizabeth Clark has been assigned the NPI (National Provider Identifier) 1902072911 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Susan Elizabeth Clark?
The Susan Elizabeth Clark is situated at 3020 Childrens Way # Mc5014, in the city of San Diego, state of CA, with the zip code 921234223.
What is Susan Elizabeth Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Elizabeth Clark's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Susan Elizabeth Clark receive its 1902072911 assignment?
The Susan Elizabeth Clark was assigned its 1902072911 on 2008-04-30, which is the date when this unique identifier was issued to the organization.
As of what date were the Susan Elizabeth Clark's details last updated?
The information pertaining to the Susan Elizabeth Clark, including its address, specialty, and other details, was most recently updated on 2008-04-30.