| William H. Clark, Ph.d. | |
|
50 N Franklin Tpke Ste 110 Ho Ho Kus NJ 07423-1562 | |
| (201) 689-8293 | |
| (201) 689-8293 |
| Full Name | William H. Clark, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 50 N Franklin Tpke Ste 110, Ho Ho Kus, New Jersey |
| Authorized Official Name and Position | William H Clark (PSYCHOLOGIST) |
| Authorized Official Contact | 2016898293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William H. Clark, Ph.d. 50 N Franklin Tpke Ste 110 Ho Ho Kus NJ 07423-1562 Ph: (120) 168-9829 | William H. Clark, Ph.d. 50 N Franklin Tpke Ste 110 Ho Ho Kus NJ 07423-1562 Ph: (201) 689-8293 |
| NPI Number | 1851984280 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 02/17/2021 |
| Certification Date | 02/17/2021 |
| Medicare PECOS PAC ID | 6406262898 |
|---|---|
| Medicare Enrollment ID | O20210310000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851984280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | William H Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366464364 PECOS PAC ID: 3476592601 Enrollment ID: I20050427001055 |
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