Mr Clark Robert Thompson, MA is a
Student In An Organized Health Care Education/training Program based in Fayetteville, Arkansas. Mr Clark Robert Thompson is licensed to practice in * (Not Available) (license number ) and his current practice location is
86 W Sunbridge Dr, Fayetteville, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 435-6360.
NPI number for Mr Clark Robert Thompson is 1003284274 and his current mailing address is 405 Central Ave, Northfield, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003284274.
Healthcare Provider's Profile
Full Name | Mr Clark Robert Thompson |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 86 W Sunbridge Dr, Fayetteville, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003284274
- Provider Enumeration Date: 09/04/2015
- Last Update Date: 10/31/2018
Medical Identifiers
Medical identifiers for Mr Clark Robert Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003284274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 1810AP-PL (Arkansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Clark Robert Thompson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Clark Robert Thompson, MA 405 Central Ave, Northfield, IL 60093-3006 Ph: (847) 441-5600 | Mr Clark Robert Thompson, MA 86 W Sunbridge Dr, Fayetteville, AR 72703-1822 Ph: (479) 435-6360 |
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