Autumn Clark is a Psychiatry in Springfield, Missouri. Autumn Clark practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Autumn Clark is 1912911090. The last update date is 2013-05-02.
Autumn Clark's current location address is Po Box 2580, Springfield, Missouri. You can contact this provider via phone number 4178294620. The mailing address for Autumn Clark is Po Box 2580, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Autumn Clark |
|---|---|
| Address | Po Box 2580, Springfield, Missouri |
| Phone Number | 4178294620 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1912911090 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2013-05-02 |
Provider Mailing Address Detail
| Address | Po Box 2580 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658012580 |
| Phone Number | 4178294620 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 102201521 |
|
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 |
|---|---|---|---|
| 1912911090 | MO | -- | |
| P00852000 | MO | RAILROAD MEDICARE # | |
| 183130003 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Autumn Clark?
The Autumn Clark has been issued the NPI (National Provider Identifier) 1912911090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Autumn Clark's physical address?
The Autumn Clark is physically located at Po Box 2580, in the city of Springfield, MO, with the postal code 658012580.
What is Autumn Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Autumn Clark is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did the Autumn Clark receive the assignment of its 1912911090 from the Centers for Medicare & Medicaid Services?
The Autumn Clark was issued its 1912911090 by the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date was the information regarding Autumn Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Autumn Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-02.
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