Christopher Shadburn Clark in Vero Beach - Psychiatry
Christopher Shadburn Clark - NPI 1184721912
Christopher Shadburn Clark is a Psychiatry in Vero Beach, Florida. Christopher Shadburn Clark practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Christopher Shadburn Clark is 1184721912. The last update date is 2007-07-08.
Christopher Shadburn Clark's current location address is 777 37th St, Vero Beach, Florida. You can contact this provider via phone number 7727787217. The mailing address for Christopher Shadburn Clark is 777 37th St, Vero Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Shadburn Clark |
|---|---|
| Address | 777 37th St, Vero Beach, Florida |
| Phone Number | 7727787217 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184721912 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 777 37th St |
|---|---|
| City | Vero Beach |
| State | Florida (FL) |
| Post Code | 329604873 |
| Phone Number | 7727787217 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | ME80173 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 261068000 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Christopher Shadburn Clark by the Centers for Medicare & Medicaid Services?
The Christopher Shadburn Clark has been issued the NPI (National Provider Identifier) 1184721912 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Christopher Shadburn Clark's physical address?
The Christopher Shadburn Clark is physically located at 777 37Th St, in the city of Vero Beach, FL, with the postal code 329604873.
What is Christopher Shadburn Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Christopher Shadburn Clark's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did Christopher Shadburn Clark receive its 1184721912 assignment from the Centers for Medicare & Medicaid Services?
The Christopher Shadburn Clark was assigned its 1184721912 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Christopher Shadburn Clark's information last updated?
The Christopher Shadburn Clark's information was last updated on 2007-07-08.
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