DR. DESSYE-DEE M CLARK ARNP PHD NPI 1801802855

NPI Information

NPI: 1801802855
Provider Name: DR. DESSYE-DEE M CLARK, ARNP, PHD
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
301 W SPRUCE ST
SOUND VIEW COUNSELING & ASSOC. PS INC.
MISSOULA, MT
ZIP 59802
Phone: (406) 541-4436
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DR. Dessye-dee M Clark, ARNP, PHD is a psychiatric/mental health nurse practitioner in Missoula, MT with 41 years of experience. DR. Dessye-dee M Clark, ARNP, PHD NPI is 1801802855. 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:

301 W SPRUCE ST
SOUND VIEW COUNSELING & ASSOC. PS INC.
MISSOULA, MT
ZIP 59802-107
Phone: (406) 541-4436
Fax: (406) 541-4437

The NPI 1801802855 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 3/18/2021.

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	163W00000X	Registered Nurse		RN00094578	WASHINGTON	No
2	163W00000X	Registered Nurse		283297	CALIFORNIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	NUR-APRN-LIC-99982	MONTANA	Yes
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	30002196	WASHINGTON	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN29998	MONTANA	No
6	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	AP30002196	WASHINGTON	No
7	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	RN29998	MONTANA	No
8	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	AP30002196	WASHINGTON	No
9	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	RN29998	MONTANA	No

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0004304872	MEDICAID	MONTANA
2	29998	OTHER	MONTANA	APRN
3	30002196	OTHER	WASHINGTON	ARNP

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: 4/28/2024

NPI Synchronization or Removal

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