Wallace Clark IV THERAPEUTIC MENTOR

  • NPI 1942667944
According to our database, the NPI number for Wallace Clark IV THERAPEUTIC MENTOR is 1942667944 and activated since 8 years ago. Wallace Clark IV THERAPEUTIC MENTOR is an individual provider who specializes in Social Worker, and the primary practice location is 6 Concordia Dr, Haverhill, MA 01830. You can also contact Wallace Clark IV THERAPEUTIC MENTOR via telephone number is (978) 373-3086. Provider NPI information was last updated on 01/21/2016.

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Overview of Wallace Clark IV THERAPEUTIC MENTOR

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/21/2016
  • Last updated: 01/21/2016

Primary Scrop of Practice

  • Taxonomy Code: 104100000X
  • Specialty: Social Worker
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 6 Concordia Dr
    Haverhill, MA 01830
  • Phone: 978-373-3086
  • Fax: 978-469-0486

Provider Practice Location

  • Address: 6 Concordia Dr
    Haverhill, MA 01830
  • Phone: 978-373-3086
  • Fax: 978-469-0486

Scope of Practice

  • Taxonomy Code: 104100000X
  • Specialty: Social Worker
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Wallace Clark IV THERAPEUTIC MENTOR?
  • A: The npi number for Wallace Clark IV THERAPEUTIC MENTOR is 1942667944.
  • Q: What are Wallace Clark IV THERAPEUTIC MENTOR's specialties?
  • A: Wallace Clark IV THERAPEUTIC MENTOR's specialties are Social Worker and different specialities.
  • Q: What is the medical license for Wallace Clark IV THERAPEUTIC MENTOR?
  • A: The medical license number for Wallace Clark IV THERAPEUTIC MENTOR is unknow and issued in unknow in USA.
  • Q: Where is Wallace Clark IV THERAPEUTIC MENTOR practice location?
  • A: Wallace Clark IV THERAPEUTIC MENTOR is practicing at 6 Concordia Dr, Haverhill, MA 01830.
  • Q: How to contact Wallace Clark IV THERAPEUTIC MENTOR?
  • A: You can contact Wallace Clark IV THERAPEUTIC MENTOR via 978-373-3086.
Medicare Specialty
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