Terrell A Clark, PHD
Psychologist, Clinical Child & Adolescent in Waltham, Massachusetts
1043283724- Practice location
- 9 Hope Ave, Waltham, MA 02453-2741
- Phone
- 781-216-2200
- Fax
- 781-647-8914
- Last updated
- July 13, 2026
Terrell A Clark is a Psychologist, Clinical Child & Adolescent based in Waltham, MA. Terrell A Clark practices in Waltham, MA and has the professional credentials of PHD. The NPI Number for Terrell A Clark is 1043283724 and holds a License No. 2856 (MA). The current practice location address for Terrell A Clark is 9 Hope Ave, Waltham, MA 02453-2741 and can be reached out via phone at 781-216-2200 and via fax at 781-647-8914.
Provider Profile Details
- NPI Number
- 1043283724
- Provider Name
- Terrell A Clark
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9 Hope Ave, Waltham, MA 02453-2741
- Phone Number
- 781-216-2200
- Fax Number
- 781-647-8914
- Primary Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 11, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 Hope Ave
Waltham, MA 02453-2741 - City
- Waltham
- State
- Massachusetts
- Zip
- 02453-2741
- Phone Number
- 781-216-2200
- Fax Number
- 781-647-8914
Provider Business Mailing Address Details
- Address
- 34 Meadow RD
Bolton, MA 01740-1120 - City
- Bolton
- State
- MA
- Zip
- 01740-1120
- Phone Number
- 978-779-6133
License Information
- License Number
- 2856
- License State
- MA
- Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical Child & Adolescent providers near Waltham, MA
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- Melissa A Heffron, NPRegistered Nurse · NPI 1912619545
- Samantha CottoSocial Worker, Clinical · NPI 1801521398
- Angela K AlmquistNurse Practitioner · NPI 1013829548
- Andrew C Fierimonte, MACounselor, Mental Health · NPI 1366150625
Frequently Asked Questions
What is the NPI number of Terrell A Clark, PHD?
The NPI number of Terrell A Clark, PHD is 1043283724. It was assigned on February 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Terrell A Clark, PHD?
Terrell A Clark, PHD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number 2856.
Where does Terrell A Clark, PHD practice?
The practice location is 9 Hope Ave, Waltham, MA 02453-2741. The office can be reached at 781-216-2200 (phone) or 781-647-8914 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043283724 directly on the NPPES registry website.