Matthew Clark
Counselor, Professional in Windsor, Connecticut
1417353996- Practice location
- 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700
- Phone
- 860-607-3235
- Fax
- 860-607-3201
- Last updated
- January 5, 2017
Matthew Clark is a Counselor, Professional based in Windsor, CT. Matthew Clark practices in Windsor, CT. The NPI Number for Matthew Clark is 1417353996 and holds a License No. 002674 (CT). The current practice location address for Matthew Clark is 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700 and can be reached out via phone at 860-607-3235 and via fax at 860-607-3201.
Provider Profile Details
- NPI Number
- 1417353996
- Provider Name
- Matthew Clark
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700
- Phone Number
- 860-607-3235
- Fax Number
- 860-607-3201
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 12, 2014
- Last Update Date
- January 5, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 Bloomfield Ave
Ste 301
Windsor, CT 06095-2700 - City
- Windsor
- State
- Connecticut
- Zip
- 06095-2700
- Phone Number
- 860-607-3235
- Fax Number
- 860-607-3201
Provider Business Mailing Address Details
- Address
- 360 Bloomfield Ave
Ste 301
Windsor, CT 06095-2700 - City
- Windsor
- State
- CT
- Zip
- 06095-2700
- Phone Number
- 860-607-3235
- Fax Number
- 860-607-3201
License Information
- License Number
- 002674
- License State
- CT
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Matthew Clark?
The NPI number of Matthew Clark is 1417353996. It was assigned on November 12, 2014 and is currently active in the NPPES registry.
What is the specialty of Matthew Clark?
Matthew Clark is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 002674.
Where does Matthew Clark practice?
The practice location is 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700. The office can be reached at 860-607-3235 (phone) or 860-607-3201 (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 1417353996 directly on the NPPES registry website.