Sean Hoban Clark, is a
Psychologist - Cognitive & Behavioral based in Maplewood, Minnesota. Sean Hoban Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
2495 Maplewood Dr Ste 312, Maplewood, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 760-3109.
NPI number for Sean Hoban Clark is 1457864605 and her current mailing address is 2495 Maplewood Dr Ste 312, Maplewood, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457864605.
Healthcare Provider's Profile
Full Name | Sean Hoban Clark |
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Gender | Female |
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Speciality | Psychologist - Cognitive & Behavioral |
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Location | 2495 Maplewood Dr Ste 312, Maplewood, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457864605
- Provider Enumeration Date: 11/09/2017
- Last Update Date: 11/09/2017
Medical Identifiers
Medical identifiers for Sean Hoban Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457864605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sean Hoban Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sean Hoban Clark, 2495 Maplewood Dr Ste 312, Maplewood, MN 55109-1985 Ph: (651) 760-3109 | Sean Hoban Clark, 2495 Maplewood Dr Ste 312, Maplewood, MN 55109-1985 Ph: (651) 760-3109 |
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