SANDRA CLARK MHCL NPI 1912993825

NPI Information

NPI: 1912993825
Provider Name: SANDRA CLARK, MHCL
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1801 HICKMAN RD
DES MOINES, IA
ZIP 50314
Phone: (515) 282-2319
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Sandra Clark, MHCL is a mental health counselor in Des Moines, IA. Sandra Clark, MHCL NPI is 1912993825. 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:

1801 HICKMAN RD
DES MOINES, IA
ZIP 50314-505
Phone: (515) 282-2319
Fax: (515) 282-3234

The enumeration date for this NPI number is 9/26/2005 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
1	101YM0800X	Counselor	Mental Health	00175	IOWA	Yes
2	103T00000X	Psychologist		00439	IOWA	X

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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