MR. ED A CLARKE MASTERS THEOLOGY NPI 1497997167

NPI Information

NPI: 1497997167
Provider Name: MR. ED A CLARKE, MASTERS THEOLOGY
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
9925 INTERNATIONAL BLVD
SUITE 6
OAKLAND, CA
ZIP 94603
Phone: (510) 562-3731
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MR. Ed A Clarke, MASTERS THEOLOGY is a pastoral counselor in Oakland, CA. MR. Ed A Clarke, MASTERS THEOLOGY NPI is 1497997167. 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:

9925 INTERNATIONAL BLVD
SUITE 6
OAKLAND, CA
ZIP 94603-558
Phone: (510) 562-3731
Fax: (510) 562-3731

The enumeration date for this NPI number is 3/27/2009 and was last updated on 3/27/2009.

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	101YP1600X	Counselor	Pastoral			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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