- Practice location
- 55 S Main St, Waterbury, VT 05676-1556
- Phone
- 802-585-0297
- Fax
- —
- Last updated
- December 1, 2010
Alice Ann Clark is a Psychologist, Clinical based in Waterbury, VT. Alice Ann Clark practices in Waterbury, VT and has the professional credentials of PHD. The NPI Number for Alice Ann Clark is 1598813073 and holds a License No. 7094 (MA). The current practice location address for Alice Ann Clark is 55 S Main St, Waterbury, VT 05676-1556 and can be reached out via phone at 802-585-0297.
Provider Profile Details
- NPI Number
- 1598813073
- Provider Name
- Alice Ann Clark
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 S Main St, Waterbury, VT 05676-1556
- Phone Number
- 802-585-0297
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 8, 2007
- Last Update Date
- December 1, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 S Main St
Waterbury, VT 05676-1556 - City
- Waterbury
- State
- Vermont
- Zip
- 05676-1556
- Phone Number
- 802-585-0297
Provider Business Mailing Address Details
- Address
- Po Box 458
Stowe, VT 05672-0458 - City
- Stowe
- State
- VT
- Zip
- 05672-0458
- Phone Number
- 802-585-0297
License Information
- License Number (1)
- 7094
- License State (1)
- MA
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 048.0057921
- License State (2)
- VT
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · 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 Alice A Clark, PHD?
The NPI number of Alice A Clark, PHD is 1598813073. It was assigned on January 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Alice A Clark, PHD?
Alice A Clark, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 7094.
Where does Alice A Clark, PHD practice?
The practice location is 55 S Main St, Waterbury, VT 05676-1556. The office can be reached at 802-585-0297 (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 1598813073 directly on the NPPES registry website.