Monica Mary Clark in Davenport - Marriage & Family Therapist
Monica Mary Clark - NPI 1376517045
Monica Mary Clark is a Marriage & Family Therapist in Davenport, Iowa. Monica Mary Clark practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Monica Mary Clark is 1376517045. The last update date is 2013-09-26.
Monica Mary Clark's current location address is 2102 East 38th St, Davenport, Iowa. You can contact this provider via phone number 5633594049 and fax number 5633594069. The mailing address for Monica Mary Clark is 2102 East 38th St, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monica Mary Clark |
|---|---|
| Address | 2102 East 38th St, Davenport, Iowa |
| Phone Number | 5633594049 |
| Fax Number | 5633594069 |
| Sole Proprietor | Y |
| Credentials | MSW LISW L |
NPI Number Detail
| NPI Number | 1376517045 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2013-09-26 |
Provider Mailing Address Detail
| Address | 2102 East 38th St |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 52807 |
| Phone Number | 5633594049 |
| Fax Number | 5633594069 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 16 |
|
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1108750000 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Monica Mary Clark by the Centers for Medicare & Medicaid Services?
The Monica Mary Clark has been assigned the NPI (National Provider Identifier) 1376517045 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Monica Mary Clark is physically located?
The Monica Mary Clark is situated at the following address: 2102 East 38Th St, Davenport, IA 52807.
What is Monica Mary Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Monica Mary Clark is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date did Monica Mary Clark receive its 1376517045 assignment from the Centers for Medicare & Medicaid Services?
The Monica Mary Clark was assigned its 1376517045 on 2006-02-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Monica Mary Clark's details last updated?
The information pertaining to the Monica Mary Clark, including its address, specialty, and other details, was most recently updated on 2013-09-26.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN