| Courtney L Clark ,lcmft, Llc | |
|
920 N Rock Rd Derby KS 67037-3552 | |
| (316) 788-8510 | |
| (316) 788-8543 |
| Full Name | Courtney L Clark ,lcmft, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 920 N Rock Rd, Derby, Kansas |
| Authorized Official Name and Position | Lorry Swayze (BILLING MANAGER) |
| Authorized Official Contact | 3169443940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney L Clark ,lcmft, Llc 920 N Rock Rd Derby KS 67037-3552 Ph: (316) 788-8510 | Courtney L Clark ,lcmft, Llc 920 N Rock Rd Derby KS 67037-3552 Ph: (316) 788-8510 |
| NPI Number | 1144596214 |
|---|---|
| Provider Enumeration Date | 03/22/2012 |
| Last Update Date | 03/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144596214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 328 (Kansas) | Primary |
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