Active NPIIndividual providerSole proprietor

Elizabeth F Clark, PHD

Psychologist, Clinical Child & Adolescent in Stow, Massachusetts

NPI Number1548755176
Practice location
16 Gleasondale RD, Stow, MA 01775-1465
Fax
—
Last updated
June 26, 2018

Elizabeth F Clark is a Psychologist, Clinical Child & Adolescent based in Stow, MA. Elizabeth F Clark practices in Stow, MA and has the professional credentials of PHD. The NPI Number for Elizabeth F Clark is 1548755176 and holds a License No. 7190 (MA). The current practice location address for Elizabeth F Clark is 16 Gleasondale RD, Stow, MA 01775-1465 and can be reached out via phone at 978-295-9090.

Provider Profile Details

NPI Number
1548755176
Provider Name
Elizabeth F Clark
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
16 Gleasondale RD, Stow, MA 01775-1465
Phone Number
978-295-9090
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
Yes
Provider Enumeration Date
June 26, 2018
Last Update Date
June 26, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Gleasondale RD
Stow, MA 01775-1465
City
Stow
Zip
01775-1465
Phone Number
978-295-9090
Stow, MA 01775Get directions →

Provider Business Mailing Address Details

Address
Po Box 381006
Cambridge, MA 02238-1006
City
Cambridge
State
MA
Zip
02238-1006

License Information

License Number
7190
License State
MA
Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X · 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 Elizabeth F Clark, PHD?

The NPI number of Elizabeth F Clark, PHD is 1548755176. It was assigned on June 26, 2018 and is currently active in the NPPES registry.

What is the specialty of Elizabeth F Clark, PHD?

Elizabeth F Clark, PHD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number 7190.

Where does Elizabeth F Clark, PHD practice?

The practice location is 16 Gleasondale RD, Stow, MA 01775-1465. The office can be reached at 978-295-9090 (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 1548755176 directly on the NPPES registry website.

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