Mrs Mandi Lynne Clark, NCSP - Psychologist in Colchester, IL

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Mrs Mandi Lynne Clark, NCSP is a Psychologist - School based in Colchester, Illinois. Mrs Mandi Lynne Clark is licensed to practice in Illinois (license number 1909260) and her current practice location is 310 S Coal St, Colchester, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 776-3002.

NPI number for Mrs Mandi Lynne Clark is 1093239758 and her current mailing address is 737 Madelyn Ave, Macomb, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093239758.

Contact Information

Mrs Mandi Lynne Clark, NCSP
310 S Coal St,
Colchester, IL 62326-1209
(309) 776-3002
(309) 776-3002

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Healthcare Provider's Profile

Full NameMrs Mandi Lynne Clark
GenderFemale
SpecialityPsychologist - School
Location310 S Coal St, Colchester, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093239758
  • Provider Enumeration Date: 08/02/2017
  • Last Update Date: 03/17/2018

Medical Identifiers

Medical identifiers for Mrs Mandi Lynne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093239758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 1909260 (Illinois)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. Mrs Mandi Lynne Clark 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 AddressPractice Location Address
Mrs Mandi Lynne Clark, NCSP
737 Madelyn Ave,
Macomb, IL 61455-3030

Ph: (309) 776-3002		Mrs Mandi Lynne Clark, NCSP
310 S Coal St,
Colchester, IL 62326-1209

Ph: (309) 776-3002

Reviews and Comments


Psychologist in Colchester, IL


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