PHILLIP A CLARK NPI 1568950764

NPI Information

Phillip A Clark is a counselor in Oakland, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Phillip A Clark NPI is 1568950764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

925 BROCKHURST ST
OAKLAND, CA
ZIP 94608-222
Phone: (510) 923-9600

The enumeration date for this NPI number is 4/24/2018 and was last updated on 4/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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