Vidal Clark
Counselor in Jamaica Plain, Massachusetts
1154727048- Practice location
- 555 Amory St, Suite 3, Jamaica Plain, MA 02130-2652
- Phone
- 617-522-0900
- Fax
- —
- Last updated
- November 5, 2014
Vidal Clark is a Counselor based in Jamaica Plain, MA. Vidal Clark practices in Jamaica Plain, MA. The NPI Number for Vidal Clark is 1154727048. The current practice location address for Vidal Clark is 555 Amory St, Suite 3, Jamaica Plain, MA 02130-2652 and can be reached out via phone at 617-522-0900.
Provider Profile Details
- NPI Number
- 1154727048
- Provider Name
- Vidal Clark
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 555 Amory St, Suite 3, Jamaica Plain, MA 02130-2652
- Phone Number
- 617-522-0900
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 5, 2014
- Last Update Date
- November 5, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 555 Amory St
Suite 3
Jamaica Plain, MA 02130-2652 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-2652
- Phone Number
- 617-522-0900
Provider Business Mailing Address Details
- Address
- 555 Amory St
Suite 3
Jamaica Plain, MA 02130-2652 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-2652
License Information
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Jamaica Plain, MA
View all Counselors in Jamaica Plain →Frequently Asked Questions
What is the NPI number of Vidal Clark?
The NPI number of Vidal Clark is 1154727048. It was assigned on November 5, 2014 and is currently active in the NPPES registry.
What is the specialty of Vidal Clark?
Vidal Clark is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Vidal Clark practice?
The practice location is 555 Amory St, Suite 3, Jamaica Plain, MA 02130-2652. The office can be reached at 617-522-0900 (phone).
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 1154727048 directly on the NPPES registry website.