Patricia R Clark in Wakefield - Marriage & Family Therapist
Patricia R Clark - NPI 1720122963
Patricia R Clark is a Marriage & Family Therapist in Wakefield, Rhode Island. Patricia R Clark practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Patricia R Clark is 1720122963. The last update date is 2007-07-08.
Patricia R Clark's current location address is 186 Kettle Pond Dr, Wakefield, Rhode Island. You can contact this provider via phone number 4017897770 and fax number 4017833636. The mailing address for Patricia R Clark is 186 Kettle Pond Dr, Wakefield, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia R Clark |
|---|---|
| Address | 186 Kettle Pond Dr, Wakefield, Rhode Island |
| Phone Number | 4017897770 |
| Fax Number | 4017833636 |
| Sole Proprietor | Y |
| Credentials | M.S., LMFT |
NPI Number Detail
| NPI Number | 1720122963 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 186 Kettle Pond Dr |
|---|---|
| City | Wakefield |
| State | Rhode Island (RI) |
| Post Code | 28795419 |
| Phone Number | 4017897770 |
| Fax Number | 4017833636 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 51 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7221-2 | RI | BLUE CROSS & BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Patricia R Clark by the Centers for Medicare & Medicaid Services?
The Patricia R Clark has been issued the NPI (National Provider Identifier) 1720122963, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Patricia R Clark located?
The Patricia R Clark is located at 186 Kettle Pond Dr, Wakefield, RI 28795419.
What is Patricia R Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Patricia R Clark is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720122963 to Patricia R Clark?
The Centers for Medicare & Medicaid Services assigned the 1720122963 to Patricia R Clark on 2007-02-19.
When was the information related to Patricia R Clark most recently updated or refreshed?
The details pertaining to the Patricia R Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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