Active NPIIndividual providerSole proprietor

Dr. William H Clark, PHD

Psychologist in Ridgewood, New Jersey

NPI Number1366464364
Practice location
530 N Maple Ave, Ridgewood, NJ 07450-1610
Fax
201-689-8293
Last updated
July 8, 2007

William H Clark is a Psychologist based in Ridgewood, NJ. William H Clark practices in Ridgewood, NJ and has the professional credentials of PHD. The NPI Number for William H Clark is 1366464364 and holds a License No. 35SI00115900 (NJ). The current practice location address for William H Clark is 530 N Maple Ave, Ridgewood, NJ 07450-1610 and can be reached out via phone at 201-689-8293 and via fax at 201-689-8293.

Provider Profile Details

NPI Number
1366464364
Provider Name
William H Clark
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
530 N Maple Ave, Ridgewood, NJ 07450-1610
Phone Number
201-689-8293
Fax Number
201-689-8293
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
530 N Maple Ave
Ridgewood, NJ 07450-1610
Zip
07450-1610
Phone Number
201-689-8293
Fax Number
201-689-8293
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
311 Kenilworth RD
Ridgewood, NJ 07450-5201
City
Ridgewood
State
NJ
Zip
07450-5201
Phone Number
201-689-8293
Fax Number
201-689-8293

License Information

License Number
35SI00115900
License State
NJ
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. William H Clark, PHD?

The NPI number of Dr. William H Clark, PHD is 1366464364. It was assigned on July 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. William H Clark, PHD?

Dr. William H Clark, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00115900.

Where does Dr. William H Clark, PHD practice?

The practice location is 530 N Maple Ave, Ridgewood, NJ 07450-1610. The office can be reached at 201-689-8293 (phone) or 201-689-8293 (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 1366464364 directly on the NPPES registry website.

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