Daniel Clark Phd Llc | |
483 Beacon St Ph 5 Boston MA 02115-1336 | |
(801) 230-9561 | |
Not Available |
Full Name | Daniel Clark Phd Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 483 Beacon St Ph 5, Boston, Massachusetts |
Authorized Official Name and Position | Daniel Clark (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8012309561 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Daniel Clark Phd Llc 483 Beacon St Ph 5 Boston MA 02115-1336 Ph: (801) 230-9561 | Daniel Clark Phd Llc 483 Beacon St Ph 5 Boston MA 02115-1336 Ph: (801) 230-9561 |
NPI Number | 1043944135 |
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Provider Enumeration Date | 07/13/2022 |
Last Update Date | 07/13/2022 |
Certification Date | 07/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043944135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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