Active NPIIndividual providerSole proprietor

Dr. Cory Clark, PHD

Psychologist in Wakefield, Rhode Island

NPI Number1588020051
Practice location
213 Robinson St, Wakefield, RI 02879-3656
Fax
—
Last updated
January 13, 2016

Cory Clark is a Psychologist based in Wakefield, RI. Cory Clark practices in Wakefield, RI and has the professional credentials of PHD. The NPI Number for Cory Clark is 1588020051 and holds a License No. ps01098 (RI). The current practice location address for Cory Clark is 213 Robinson St, Wakefield, RI 02879-3656 and can be reached out via phone at 401-680-9157.

Provider Profile Details

NPI Number
1588020051
Provider Name
Cory Clark
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
213 Robinson St, Wakefield, RI 02879-3656
Phone Number
401-680-9157
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 13, 2016
Last Update Date
January 13, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
213 Robinson St
Wakefield, RI 02879-3656
Zip
02879-3656
Phone Number
401-680-9157
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
213 Robinson St
Wakefield, RI 02879-3656
City
Wakefield
State
RI
Zip
02879-3656
Phone Number
401-680-9157

License Information

License Number
ps01098
License State
RI
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. Cory Clark, PHD?

The NPI number of Dr. Cory Clark, PHD is 1588020051. It was assigned on January 13, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Cory Clark, PHD?

Dr. Cory Clark, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in RI under license number ps01098.

Where does Dr. Cory Clark, PHD practice?

The practice location is 213 Robinson St, Wakefield, RI 02879-3656. The office can be reached at 401-680-9157 (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 1588020051 directly on the NPPES registry website.

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