Active NPIIndividual providerSole proprietor

Dr. Robert A Clark, PHD

Psychologist, Clinical in Pomona, New York

NPI Number1679605117
Practice location
1 Cooper Morris Dr, Pomona, NY 10970-3309
Fax
—
Last updated
July 8, 2007

Robert Allen Clark is a Psychologist, Clinical based in Pomona, NY. Robert Allen Clark practices in Pomona, NY and has the professional credentials of PHD. The NPI Number for Robert Allen Clark is 1679605117 and holds a License No. 005568-1 (NY). The current practice location address for Robert Allen Clark is 1 Cooper Morris Dr, Pomona, NY 10970-3309 and can be reached out via phone at 845-354-0233.

Provider Profile Details

NPI Number
1679605117
Provider Name
Robert Allen Clark
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1 Cooper Morris Dr, Pomona, NY 10970-3309
Phone Number
845-354-0233
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 11, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Cooper Morris Dr
Pomona, NY 10970-3309
City
Pomona
Zip
10970-3309
Phone Number
845-354-0233
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
535 W 217TH St
New York, NY 10034-1302
City
New York
State
NY
Zip
10034-1302
Phone Number
212-567-4738
Fax Number
212-567-4738

License Information

License Number
005568-1
License State
NY
Taxonomy
Psychologist, Clinical · 103TC0700X · 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. Robert A Clark, PHD?

The NPI number of Dr. Robert A Clark, PHD is 1679605117. It was assigned on March 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Robert A Clark, PHD?

Dr. Robert A Clark, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 005568-1.

Where does Dr. Robert A Clark, PHD practice?

The practice location is 1 Cooper Morris Dr, Pomona, NY 10970-3309. The office can be reached at 845-354-0233 (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 1679605117 directly on the NPPES registry website.

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