Todd Clark in Winston-salem - Marriage & Family Therapist
Todd Clark - NPI 1831311406
Todd Clark is a Marriage & Family Therapist in Winston-salem, North Carolina. Todd Clark practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Todd Clark is 1831311406. The last update date is 2007-07-08.
Todd Clark's current location address is 2000 Frontis Plaza Blvd, Winston-salem, North Carolina. You can contact this provider via phone number 3362772435 and fax number 3362779275. The mailing address for Todd Clark is 2000 Frontis Plaza Blvd, Winston-salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Todd Clark |
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Address | 2000 Frontis Plaza Blvd, Winston-salem, North Carolina |
Phone Number | 3362772435 |
Fax Number | 3362779275 |
Sole Proprietor | N |
Credentials | LPC |
NPI Number Detail
NPI Number | 1831311406 |
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Provider Enumeration Date | 2007-05-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2000 Frontis Plaza Blvd |
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City | Winston-salem |
State | North Carolina (NC) |
Post Code | 271035616 |
Phone Number | 3362772435 |
Fax Number | 3362779275 |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | 2636 |
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 |
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What is the unique identifier code issued to Todd Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Todd Clark has been assigned the NPI (National Provider Identifier) 1831311406. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Todd Clark is physically located?
The Todd Clark is situated at the following address: 2000 Frontis Plaza Blvd, Winston-Salem, NC 271035616.
What is Todd Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Todd Clark is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date did the Todd Clark receive the assignment of its 1831311406 from the Centers for Medicare & Medicaid Services?
The Todd Clark was issued its 1831311406 by the Centers for Medicare & Medicaid Services on 2007-05-03.
When was the Todd Clark's information last updated?
The Todd Clark's information was last updated on 2007-07-08.