DERRICK ROGERS CLARK LPC NPI 1609184324

NPI Information

NPI: 1609184324
Provider Name: DERRICK ROGERS CLARK, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
673 WESTBURY DR STE 201
IOWA CITY, IA
ZIP 52245
Phone: (319) 356-6352
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Derrick Rogers Clark, LPC is a mental health counselor in Iowa City, IA. Derrick Rogers Clark, LPC NPI is 1609184324. 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:

673 WESTBURY DR STE 201
IOWA CITY, IA
ZIP 52245-732
Phone: (319) 356-6352
Fax: (319) 358-2367

The enumeration date for this NPI number is 9/15/2010 and was last updated on 2/16/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		2010031959	MISSOURI	No
2	101YM0800X	Counselor	Mental Health	072850	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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