Tyrell D Clark
Counselor, Mental Health in Westampton, New Jersey
1467990093- Practice location
- 770 Woodlane RD, Westampton, NJ 08060-3804
- Phone
- 609-267-5928
- Fax
- —
- Last updated
- February 2, 2017
Tyrell David Clark is a Counselor, Mental Health based in Westampton, NJ. Tyrell David Clark practices in Westampton, NJ. The NPI Number for Tyrell David Clark is 1467990093. The current practice location address for Tyrell David Clark is 770 Woodlane RD, Westampton, NJ 08060-3804 and can be reached out via phone at 609-267-5928.
Provider Profile Details
- NPI Number
- 1467990093
- Provider Name
- Tyrell David Clark
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 770 Woodlane RD, Westampton, NJ 08060-3804
- Phone Number
- 609-267-5928
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 2, 2017
- Last Update Date
- February 2, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 770 Woodlane RD
Westampton, NJ 08060-3804 - City
- Westampton
- State
- New Jersey
- Zip
- 08060-3804
- Phone Number
- 609-267-5928
Provider Business Mailing Address Details
- Address
- 770 Woodlane RD
Westampton, NJ 08060-3804 - City
- Westampton
- State
- NJ
- Zip
- 08060-3804
- Phone Number
- 609-267-5928
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · 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 Tyrell D Clark?
The NPI number of Tyrell D Clark is 1467990093. It was assigned on February 2, 2017 and is currently active in the NPPES registry.
What is the specialty of Tyrell D Clark?
Tyrell D Clark is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Tyrell D Clark practice?
The practice location is 770 Woodlane RD, Westampton, NJ 08060-3804. The office can be reached at 609-267-5928 (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 1467990093 directly on the NPPES registry website.