Peter Clark in Covington - Clinical Child & Adolescent
Peter Clark - NPI 1447310289
Peter Clark is a Clinical Child & Adolescent in Covington, Louisiana. Peter Clark practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Peter Clark is 1447310289. The last update date is 2007-07-08.
Peter Clark's current location address is 203 W 21st Ave, Covington, Louisiana. You can contact this provider via phone number 9858679333 and fax number 9858925057. The mailing address for Peter Clark is 203 W 21st Ave, Covington, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Clark |
|---|---|
| Address | 203 W 21st Ave, Covington, Louisiana |
| Phone Number | 9858679333 |
| Fax Number | 9858925057 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1447310289 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 203 W 21st Ave |
|---|---|
| City | Covington |
| State | Louisiana (LA) |
| Post Code | 704333151 |
| Phone Number | 9858679333 |
| Fax Number | 9858925057 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 571 |
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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 |
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What is the unique identification code assigned to Peter Clark by the Centers for Medicare & Medicaid Services?
The Peter Clark has been issued the NPI (National Provider Identifier) 1447310289. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Peter Clark?
The Peter Clark is situated at 203 W 21St Ave, in the city of Covington, state of LA, with the zip code 704333151.
What is Peter Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Peter Clark is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.
On what date was the 1447310289 assigned to Peter Clark?
The Peter Clark was issued its 1447310289 on 2006-12-11, 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 related to Peter Clark most recently updated or revised?
The information pertaining to Peter Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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