TERRELL A CLARK PHD NPI 1043283724

NPI Information

  • NPI: 1043283724
  • Provider Name: TERRELL A CLARK, PHD
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • Address: 9 HOPE AVE
    WALTHAM, MA
    ZIP 02453
  • Phone: (781) 216-2200

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NPI Details

Terrell A Clark, PHD is a clinical child and adolescent psychologist in Waltham, MA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Terrell A Clark, PHD NPI is 1043283724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9 HOPE AVE
WALTHAM, MA
ZIP 02453-741
Phone: (781) 216-2200
Fax: (781) 647-8914

The enumeration date for this NPI number is 2/11/2006 and was last updated on 7/8/2007.

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
1103TC2200XPsychologistClinical Child & Adolescent2856MASSACHUSETTSYes

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: 3/30/2025

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