Paul Jeffrey Clark, PHD is a
Psychologist - Clinical based in Crow Agency, Montana. Paul Jeffrey Clark is licensed to practice in Wisconsin (license number 1414) and his current practice location is
1010 South 7650 East, Crow Northern Cheyenne Indian Hospital, Crow Agency, Montana. He can be reached at his office (for appointments etc.) via phone at
(406) 638-3500.
NPI number for Paul Jeffrey Clark is 1457376238 and his current mailing address is Po Box 9, Crow N Cheyenne Hospital Behavioral Health, Crow Agency, Montana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457376238.
Healthcare Provider's Profile
Full Name | Paul Jeffrey Clark |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1010 South 7650 East, Crow Agency, Montana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457376238
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Paul Jeffrey Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457376238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 1414 (Wisconsin) | 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. Paul Jeffrey 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 Address | Practice Location Address |
Paul Jeffrey Clark, PHD Po Box 9, Crow N Cheyenne Hospital Behavioral Health, Crow Agency, MT 59022-0009 Ph: (406) 638-3491 | Paul Jeffrey Clark, PHD 1010 South 7650 East, Crow Northern Cheyenne Indian Hospital, Crow Agency, MT 59022 Ph: (406) 638-3500 |
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