Active NPIIndividual providerSole proprietor

Mrs. Patricia R Clark, MS, LMFT

Marriage & Family Therapist in Wakefield, Rhode Island

NPI Number1720122963
Practice location
186 Kettle Pond Dr, Wakefield, RI 02879-5419
Fax
401-783-3636
Last updated
July 8, 2007

Patricia R Clark is a Marriage & Family Therapist based in Wakefield, RI. Patricia R Clark practices in Wakefield, RI and has the professional credentials of MS, LMFT. The NPI Number for Patricia R Clark is 1720122963 and holds a License No. 51 (RI). The current practice location address for Patricia R Clark is 186 Kettle Pond Dr, Wakefield, RI 02879-5419 and can be reached out via phone at 401-789-7770 and via fax at 401-783-3636.

Provider Profile Details

NPI Number
1720122963
Provider Name
Patricia R Clark
Credential
MS, LMFT
Provider Entity Type
Individual
Gender
Female
Address
186 Kettle Pond Dr, Wakefield, RI 02879-5419
Phone Number
401-789-7770
Fax Number
401-783-3636
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 19, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
186 Kettle Pond Dr
Wakefield, RI 02879-5419
Zip
02879-5419
Phone Number
401-789-7770
Fax Number
401-783-3636
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
186 Kettle Pond Dr
Wakefield, RI 02879-5419
City
Wakefield
State
RI
Zip
02879-5419
Phone Number
401-789-7770
Fax Number
401-783-3636

License Information

License Number
51
License State
RI
Taxonomy
Marriage & Family Therapist · 106H00000X · 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 Mrs. Patricia R Clark, MS, LMFT?

The NPI number of Mrs. Patricia R Clark, MS, LMFT is 1720122963. It was assigned on February 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Patricia R Clark, MS, LMFT?

Mrs. Patricia R Clark, MS, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in RI under license number 51.

Where does Mrs. Patricia R Clark, MS, LMFT practice?

The practice location is 186 Kettle Pond Dr, Wakefield, RI 02879-5419. The office can be reached at 401-789-7770 (phone) or 401-783-3636 (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 1720122963 directly on the NPPES registry website.

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