DR. WILLIAM DAVE CLARK PH.D. NPI 1023274503

NPI Information

  • NPI: 1023274503
  • Provider Name: DR. WILLIAM DAVE CLARK, PH.D.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1421 OSSAHATCHIE CREEK RD
    ELLERSLIE, GA
    ZIP 31807
  • Phone: (561) 319-0625

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NPI Details

DR. William Dave Clark, PH.D. is a mental health counselor in Ellerslie, GA. DR. William Dave Clark, PH.D. NPI is 1023274503. 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:

1421 OSSAHATCHIE CREEK RD
ELLERSLIE, GA
ZIP 31807-339
Phone: (561) 319-0625

The enumeration date for this NPI number is 8/4/2008 and was last updated on 8/4/2008.

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
1101YM0800XCounselorMental HealthLPC001112GEORGIAYes

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: 11/21/2025

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