Alyssa G Clark in Athens - Clinical

Alyssa G Clark - NPI 1093867384

Alyssa G Clark is a Clinical in Athens, Georgia. Alyssa G Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alyssa G Clark is 1093867384. The last update date is 2007-07-08.

Alyssa G Clark's current location address is 1751 S Lumpkin St, Athens, Georgia. You can contact this provider via phone number 7063544204. The mailing address for Alyssa G Clark is 1751 S Lumpkin St, Athens, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Alyssa G Clark
Address 1751 S Lumpkin St, Athens, Georgia
Phone Number 7063544204
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1093867384
Provider Enumeration Date 2007-01-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1751 S Lumpkin St
City Athens
State Georgia (GA)
Post Code 306064740
Phone Number 7063544204
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY002917
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 Alyssa G Clark

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

The Alyssa G Clark has been issued the NPI (National Provider Identifier) 1093867384 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Alyssa G Clark's physical address?

The Alyssa G Clark is physically located at 1751 S Lumpkin St, in the city of Athens, GA, with the postal code 306064740.

What is the Alyssa G Clark's specialty and taxonomy code?

The Alyssa G Clark's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

When did Alyssa G Clark receive its 1093867384 assignment?

The Alyssa G Clark was assigned its 1093867384 on 2007-01-17, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Alyssa G Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Alyssa G Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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