Andrew Ryan Clark in Orefield - Psychiatry

Andrew Ryan Clark - NPI 1033200506

Andrew Ryan Clark is a Psychiatry in Orefield, Pennsylvania. Andrew Ryan Clark practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Andrew Ryan Clark is 1033200506. The last update date is 2022-07-21.

Andrew Ryan Clark's current location address is 5300 Kidspeace Dr, Orefield, Pennsylvania. You can contact this provider via phone number 6107998853 and fax number 6107998001. The mailing address for Andrew Ryan Clark is 5300 Kidspeace Dr, Orefield, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrew Ryan Clark
Address 5300 Kidspeace Dr, Orefield, Pennsylvania
Phone Number 6107998853
Fax Number 6107998001
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1033200506
Provider Enumeration Date 2006-09-27
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 5300 Kidspeace Dr
City Orefield
State Pennsylvania (PA)
Post Code 180692044
Phone Number 6107998853
Fax Number 6107998001

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No MD439197
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LL27954 SC LICENSE
MD439197 PA LICENSE
58450 GA LICENSE
102671034-0001 PA --

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FAQs about Andrew Ryan Clark

What is the unique provider identifier assigned to Andrew Ryan Clark?

The Andrew Ryan Clark has been issued the NPI (National Provider Identifier) 1033200506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Andrew Ryan Clark's facilities are situated?

The facilities of Andrew Ryan Clark are physically located at the following address: 5300 Kidspeace Dr, Orefield, PA, 180692044.

What is Andrew Ryan Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Andrew Ryan Clark is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.

On what date did the Andrew Ryan Clark receive the assignment of its 1033200506 from the Centers for Medicare & Medicaid Services?

The Andrew Ryan Clark was issued its 1033200506 by the Centers for Medicare & Medicaid Services on 2006-09-27.

When was the information regarding Andrew Ryan Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Andrew Ryan Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.

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