Active NPIIndividual provider

Dr. Courtney Clark, PSYD

Psychologist in Fairfield, Connecticut

NPI Number1821795295
Practice location
1559 Post RD Ste 11, Fairfield, CT 06824-5933
Fax
—
Last updated
January 6, 2025

Courtney Clark is a Psychologist based in Fairfield, CT. Courtney Clark practices in Fairfield, CT and has the professional credentials of PSYD. The NPI Number for Courtney Clark is 1821795295 and holds a License No. 4410 (CT). The current practice location address for Courtney Clark is 1559 Post RD Ste 11, Fairfield, CT 06824-5933 and can be reached out via phone at 203-293-8634.

Provider Profile Details

NPI Number
1821795295
Provider Name
Courtney Clark
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1559 Post RD Ste 11, Fairfield, CT 06824-5933
Phone Number
203-293-8634
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Other Names
N/A N/A (Other Name)
Provider Enumeration Date
February 15, 2023
Last Update Date
January 6, 2025
Certification Date
January 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1559 Post RD Ste 11
Fairfield, CT 06824-5933
Zip
06824-5933
Phone Number
203-293-8634
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
1559 Post RD Ste 11
Fairfield, CT 06824-5933
City
Fairfield
State
CT
Zip
06824-5933
Phone Number
203-293-8634

License Information

License Number
4410
License State
CT
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. Courtney Clark, PSYD?

The NPI number of Dr. Courtney Clark, PSYD is 1821795295. It was assigned on February 15, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Courtney Clark, PSYD?

Dr. Courtney Clark, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CT under license number 4410.

Where does Dr. Courtney Clark, PSYD practice?

The practice location is 1559 Post RD Ste 11, Fairfield, CT 06824-5933. The office can be reached at 203-293-8634 (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 1821795295 directly on the NPPES registry website.

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