Daniel W Clark is a Clinical in Olympia, Washington. Daniel W Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Daniel W Clark is 1619168796. The last update date is 2007-08-05.
Daniel W Clark's current location address is 1405 Harrison Ave Nw Ste 205, Olympia, Washington. You can contact this provider via phone number 3605868492. The mailing address for Daniel W Clark is 1405 Harrison Ave Nw Ste 205, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel W Clark |
|---|---|
| Address | 1405 Harrison Ave Nw Ste 205, Olympia, Washington |
| Phone Number | 3605868492 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1619168796 |
|---|---|
| Provider Enumeration Date | 2007-08-05 |
| Last Updated Date | 2007-08-05 |
Provider Mailing Address Detail
| Address | 1405 Harrison Ave Nw Ste 205 |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985025327 |
| Phone Number | 3605868492 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY1791 |
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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 Daniel W Clark by the Centers for Medicare & Medicaid Services?
The Daniel W Clark has been assigned the NPI (National Provider Identifier) 1619168796 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Daniel W Clark located?
The Daniel W Clark is located at 1405 Harrison Ave Nw Ste 205, Olympia, WA 985025327.
What is the Daniel W Clark's area of specialization and corresponding taxonomy classification?
The Daniel W Clark's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1619168796 assigned to Daniel W Clark?
The Daniel W Clark was issued its 1619168796 on 2007-08-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Daniel W Clark last refreshed?
The information related to the Daniel W Clark, including its address, specialty, and other relevant details, was last updated on 2007-08-05.
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