NPI 1457376238 PAUL JEFFREY CLARK PHD CROW AGENCY MT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Paul Jeffrey Clark - NPI: 1457376238

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: PAUL JEFFREY CLARK
NPI Number: 1457376238
Entity Type Code: Individual (1)
Gender: M
Credentials: PHD
License Number: 1414
Business Practice Address: 1010 South 7650 East
Crow Northern Cheyenne Indian Hospital Crow Agency, MT - 59022
Business Phone Number: 4066383500
Business Fax Number: 4066383569
Mailing Address: Po Box 9, Crow N Cheyenne Hospital Behavioral Health
CROW AGENCY
State: MT
Postal Code: 590220009
Phone Number: 4066383491
Fax Number: 4066383431
NPI Enumeration Date: 07/13/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 103TC0700X
License Number: 1414
Healthcare Provider Taxonomy:
(Secondary)
Y
State: WI
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Psychologist
Taxonomy Specialization: Clinical
Taxonomy Definition:


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