Alison Ilene Clark in Monmouth - Developmental Therapist
Alison Ilene Clark - NPI 1366629420
Alison Ilene Clark is a Developmental Therapist in Monmouth, Illinois. Alison Ilene Clark practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Alison Ilene Clark is 1366629420. The last update date is 2008-01-30.
Alison Ilene Clark's current location address is 1220 E 2nd Ave, Monmouth, Illinois. You can contact this provider via phone number 3097347902 and fax number 3097347114. The mailing address for Alison Ilene Clark is 1220 E 2nd Ave, Monmouth, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alison Ilene Clark |
|---|---|
| Address | 1220 E 2nd Ave, Monmouth, Illinois |
| Phone Number | 3097347902 |
| Fax Number | 3097347114 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1366629420 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2008-01-30 |
Provider Mailing Address Detail
| Address | 1220 E 2nd Ave |
|---|---|
| City | Monmouth |
| State | Illinois (IL) |
| Post Code | 614622404 |
| Phone Number | 3097347902 |
| Fax Number | 3097347114 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique identifier code issued to Alison Ilene Clark by the Centers for Medicare & Medicaid Services?
The Alison Ilene Clark has been assigned the NPI (National Provider Identifier) 1366629420. 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 Alison Ilene Clark is geographically located?
The Alison Ilene Clark is physically situated at the following location: 1220 E 2Nd Ave, Monmouth, IL, 614622404.
What is Alison Ilene Clark's area of expertise and its corresponding taxonomy classification?
The Alison Ilene Clark's field of specialization is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Alison Ilene Clark receive the assignment of its 1366629420 from the Centers for Medicare & Medicaid Services?
The Alison Ilene Clark was issued its 1366629420 by the Centers for Medicare & Medicaid Services on 2008-01-30.
When was the information related to Alison Ilene Clark most recently updated or refreshed?
The details pertaining to the Alison Ilene Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-30.