| Clark Counseling And Consulting Llc | |
|
416 Allegheny St Fl 1 Hollidaysburg PA 16648-2026 | |
| (814) 505-3248 | |
| Not Available |
| Full Name | Clark Counseling And Consulting Llc |
|---|---|
| Speciality | Psychologist |
| Location | 416 Allegheny St Fl 1, Hollidaysburg, Pennsylvania |
| Authorized Official Name and Position | Dulin Wayne Clark (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8145053248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Counseling And Consulting Llc 416 Allegheny St Hollidaysburg PA 16648-2026 Ph: (814) 505-3248 | Clark Counseling And Consulting Llc 416 Allegheny St Fl 1 Hollidaysburg PA 16648-2026 Ph: (814) 505-3248 |
| NPI Number | 1942580527 |
|---|---|
| Provider Enumeration Date | 08/26/2011 |
| Last Update Date | 12/18/2018 |
| Medicare PECOS PAC ID | 7618148461 |
|---|---|
| Medicare Enrollment ID | O20110927000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942580527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PS009217L (Pennsylvania) | Primary |
| Provider Name | Dulin Wayne Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447560636 PECOS PAC ID: 8527239375 Enrollment ID: I20110928000039 |
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