| Clarke Psychological Llc | |
|
1200 Eastwood Dr Ste 2 Clarion PA 16214-8824 | |
| (814) 297-0735 | |
| Not Available |
| Full Name | Clarke Psychological Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1200 Eastwood Dr Ste 2, Clarion, Pennsylvania |
| Authorized Official Name and Position | Adam Lawrence Clarke (PRESIDENT) |
| Authorized Official Contact | 8142970735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarke Psychological Llc 1200 Eastwood Dr Ste 2 Clarion PA 16214-8824 Ph: (814) 297-0735 | Clarke Psychological Llc 1200 Eastwood Dr Ste 2 Clarion PA 16214-8824 Ph: (814) 297-0735 |
| NPI Number | 1427537786 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 08/08/2018 |
| Medicare PECOS PAC ID | 1355687898 |
|---|---|
| Medicare Enrollment ID | O20190104000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427537786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PS018506 (Pennsylvania) | Primary |
| Provider Name | Adam L Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952650152 PECOS PAC ID: 9931445483 Enrollment ID: I20190104000730 |
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