Michael Robert Clark in Falls Church - Psychiatry
Michael Robert Clark - NPI 1124070024
Michael Robert Clark is a Psychiatry in Falls Church, Virginia. Michael Robert Clark practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Michael Robert Clark is 1124070024. The last update date is 2020-10-12.
Michael Robert Clark's current location address is 3300 Gallows Rd, Falls Church, Virginia. You can contact this provider via phone number 7037764001 and fax number 7037767113. The mailing address for Michael Robert Clark is 3300 Gallows Rd, Falls Church, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Robert Clark |
|---|---|
| Address | 3300 Gallows Rd, Falls Church, Virginia |
| Phone Number | 7037764001 |
| Fax Number | 7037767113 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124070024 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2020-10-12 |
Provider Mailing Address Detail
| Address | 3300 Gallows Rd |
|---|---|
| City | Falls Church |
| State | Virginia (VA) |
| Post Code | 220423300 |
| Phone Number | 7037764001 |
| Fax Number | 7037767113 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | D35708 |
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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 |
|---|---|---|---|
| 417331700 | MD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Robert Clark by the Centers for Medicare & Medicaid Services?
The Michael Robert Clark has been assigned the NPI (National Provider Identifier) 1124070024. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Michael Robert Clark is geographically located?
The Michael Robert Clark is physically situated at the following location: 3300 Gallows Rd, Falls Church, VA, 220423300.
What is the Michael Robert Clark's specialty and taxonomy code?
The Michael Robert Clark's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did Michael Robert Clark receive its 1124070024 assignment from the Centers for Medicare & Medicaid Services?
The Michael Robert Clark was assigned its 1124070024 on 2006-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Michael Robert Clark's information last updated?
The Michael Robert Clark's information was last updated on 2020-10-12.