Christine Mary Clark in Wildwood - Developmental Therapist
Christine Mary Clark - NPI 1942411269
Christine Mary Clark is a Developmental Therapist in Wildwood, Missouri. Christine Mary Clark practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Christine Mary Clark is 1942411269. The last update date is 2007-07-08.
Christine Mary Clark's current location address is 455 Thunderhead Canyon Dr, Wildwood, Missouri. You can contact this provider via phone number 6364585100. The mailing address for Christine Mary Clark is 455 Thunderhead Canyon Dr, Wildwood, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christine Mary Clark |
|---|---|
| Address | 455 Thunderhead Canyon Dr, Wildwood, Missouri |
| Phone Number | 6364585100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.A . ED. |
NPI Number Detail
| NPI Number | 1942411269 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 455 Thunderhead Canyon Dr |
|---|---|
| City | Wildwood |
| State | Missouri (MO) |
| Post Code | 630111736 |
| Phone Number | 6364585100 |
| Fax Number |
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 10-digit identifier code issued to Christine Mary Clark by the Centers for Medicare & Medicaid Services?
The Christine Mary Clark has been assigned the NPI (National Provider Identifier) 1942411269 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Christine Mary Clark?
The Christine Mary Clark is situated at 455 Thunderhead Canyon Dr, in the city of Wildwood, state of MO, with the zip code 630111736.
What is the Christine Mary Clark's area of specialization and corresponding taxonomy classification?
The Christine Mary Clark's specialty field is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1942411269 assigned to Christine Mary Clark?
The Christine Mary Clark was issued its 1942411269 on 2007-05-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Christine Mary Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Christine Mary Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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