| Clark Psychological Associates | |
|
3196 Parliament Circle Montgomery AL 36116-0000 | |
| (334) 300-7021 | |
| Not Available |
| Full Name | Clark Psychological Associates |
|---|---|
| Speciality | Psychologist |
| Location | 3196 Parliament Circle, Montgomery, Alabama |
| Authorized Official Name and Position | Daniel C Clark (OWNER) |
| Authorized Official Contact | 3343007021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Psychological Associates 9571 Winfield Pl Montgomery AL 36117-5157 Ph: (334) 300-7021 | Clark Psychological Associates 3196 Parliament Circle Montgomery AL 36116-0000 Ph: (334) 300-7021 |
| NPI Number | 1437394103 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 12/10/2008 |
| Medicare PECOS PAC ID | 5890843056 |
|---|---|
| Medicare Enrollment ID | O20090428000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437394103 | NPI | - | NPPES |
| 1225093891 | Other | NPI - PERSONAL ISSUED TO DR. CLARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 1076 (Alabama) | Primary |
| Provider Name | Daniel C Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225093891 PECOS PAC ID: 2668412750 Enrollment ID: I20050509000459 |
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