Active NPIIndividual providerSole proprietor

Dr. Lolalyn Clarke, PSYD

Psychologist, Clinical Child & Adolescent in Newark, New Jersey

NPI Number1700274578
Practice location
183 S Orange Ave, Newark, NJ 07103-2757
Fax
973-972-6976
Last updated
January 2, 2015

Lolalyn Clarke is a Psychologist, Clinical Child & Adolescent based in Newark, NJ. Lolalyn Clarke practices in Newark, NJ and has the professional credentials of PSYD. The NPI Number for Lolalyn Clarke is 1700274578 and holds a License No. 35SI00539400 (NJ). The current practice location address for Lolalyn Clarke is 183 S Orange Ave, Newark, NJ 07103-2757 and can be reached out via phone at 973-972-1084 and via fax at 973-972-6976.

Provider Profile Details

NPI Number
1700274578
Provider Name
Lolalyn Clarke
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
183 S Orange Ave, Newark, NJ 07103-2757
Phone Number
973-972-1084
Fax Number
973-972-6976
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2015
Last Update Date
January 2, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
183 S Orange Ave
Newark, NJ 07103-2757
City
Newark
Zip
07103-2757
Phone Number
973-972-1084
Fax Number
973-972-6976
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
183 S Orange Ave
Newark, NJ 07103-2757
City
Newark
State
NJ
Zip
07103-2757
Phone Number
973-972-1084
Fax Number
973-972-6976

License Information

License Number (1)
35SI00539400
License State (1)
NJ
Taxonomy (1)
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
License Number (2)
019400-1
License State (2)
NY

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. Lolalyn Clarke, PSYD?

The NPI number of Dr. Lolalyn Clarke, PSYD is 1700274578. It was assigned on January 2, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Lolalyn Clarke, PSYD?

Dr. Lolalyn Clarke, PSYD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in NJ under license number 35SI00539400.

Where does Dr. Lolalyn Clarke, PSYD practice?

The practice location is 183 S Orange Ave, Newark, NJ 07103-2757. The office can be reached at 973-972-1084 (phone) or 973-972-6976 (fax).

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 1700274578 directly on the NPPES registry website.

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