NPI 1720122963 · live from the CMS NPI Registry
Patricia R Clark, M.S., LMFT
Marriage & Family Therapist in Wakefield, RI. National Provider Identifier 1720122963, active.
NPI record
| NPI | 1720122963 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 186 Kettle Pond Dr, Wakefield, RI 02879 |
| Practice phone | 401-789-7770 |
| Enumerated | February 19, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 51 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.