DR. PETER CLARK


Address: 203 W 21st Ave, Covington, LA 70433-3151
Phone: 9858679333

DR. PETER CLARK (NPI# 1447310289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447310289
Entity Type Individual
Full Name DR. PETER CLARK
Credential PH.D.
Practice Address 203 W 21st Ave
Covington
LA 70433-3151
Practice Telephone 9858679333
Practice Fax Number 9858925057
Mailing Telephone 9858679333
Mailing Fax Number 9858925057
Enumeration Date 2006-12-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
571 LA Behavioral Health & Social Service Providers

Other Providers PETER CLARK

NPI Name Taxonomy Address Enumeration
1548616485 Peter Clark Ophthalmology 3601 4th St Rm 2a100, Lubbock, TX 79430-1931 2016-05-10
1154660314 Peter Edward Clark Physical Therapy Assistant 630 Linda Ct, Palm Harbor, FL 34684-4624 2013-02-07
1407174998 Peter A Clark Social Worker 10 Water St Ste 306, Waterville, ME 04901-6566 2010-05-10
1821106709 Peter Clark Internal Medicine 670 Sierra Rose Dr, Reno, NV 89511-2072 2006-08-29
1891789087 Peter Michael Clark Specialist/Technologist 23 Bridgton Rd, Westbrook, ME 04092-3653 2005-09-02
1679575385 Peter Clark Contractor 785 Central Rd, Rye Beach, NH 03871-9005 2005-08-12
1346511094 Peter James Clark Specialist/Technologist 502 E Boone Ave, Ad Box 66, Spokane, WA 99258-1774 2012-01-25
1710294434 Peter Clark Counselor 519 17th St, Suite 210, Oakland, CA 94612-1527 2010-09-01
1164664967 Peter J Clark Psychiatry & Neurology 99 Beauvoir Ave, Summit, NJ 07901-3533 2009-03-25
1528113628 Peter Clark Family Medicine 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 2007-01-25

Office Location

Street Address 203 W 21ST AVE
City COVINGTON
State LA
Zip Code 70433-3151

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790301018 Caroline K. Wilson Speech-Language Pathologist 19105 Sandy Lane Suite A, Covington, LA 70433 2020-06-23
1568092013 Tracy T Aljabi Nurse Practitioner 648 Crestwood Dr., Covington, LA 70433 2020-01-23
1093365462 Maria Robert Hebrock Marriage & Family Therapist 71338 La-21, Suite 101, Covington, LA 70433 2019-09-17
1750930806 Terry Fink Troxler Speech-Language Pathologist 521 Covington Point Dr, Covington, LA 70433 2019-09-10
1780231589 Margaret Nordness Favre Behavioral Analyst 3999 Us-190, Covington, LA 70433 2019-08-26
1881241180 Jennifer Ann Bacile Counselor 604 E 15th Street, Covington, LA 70433 2019-08-21
1356906689 Moving and Caring Transportation LLC Non-emergency Medical Transport (VAN) 251 Vintage Drive, Covington, LA 70433 2019-05-02
1780153874 Nga Endoscopy Center LLC Clinic/Center 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 2018-11-19
1831667229 Geauxprodme Durable Medical Equipment & Medical Supplies 1304 Champagne Street, Covington, LA 70433 2018-11-05
1376037994 Pamela Ann Bernabo Specialist/Technologist, Other 80 Maison Drive, Covington, LA 70433 2018-06-18
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164729901 Tiffany Whitworth Psychologist 4139 Hospital Dr Ne, Covington, GA 30014-2565 2011-02-14
1316216880 Southeastern Psychological Associates, Inc Psychologist 3155 Mill Street, Covington, GA 30014 2011-12-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750928693 Adrianne M Brennan Phd Psychologist 110 James Dr W, Saint Rose, LA 70087-4027 2019-12-10
1972758639 Adrianne M Brennan Psychologist 433 Metairie Rd Ste 615, Metairie, LA 70005-4326 2008-11-22
1760647663 William E Fowler Psychologist 309 Crystal St, New Orleans, LA 70124-2619 2008-07-21
1598926644 Jerald W Bamburg Jr. Psychologist 106 N Bend Dr, Pineville, LA 71360-4677 2008-06-20
1548456189 Courtney N. Baker Psychologist 6400 Freret St, Psychology Dept., 2007 Percival Stern Hall, New Orleans, LA 70118-5636 2007-09-18
1497895262 Mercy Family Center Psychologist 110 Veterans Memorial Blvd., Suite 425, Metairie, LA 70005-4959 2007-02-08
1063473213 Claire Dianne Peebles Psychologist 4517 Lorino St, Metairie, LA 70006-2323 2006-03-29
1831750645 Kasia Plessy Psychologist 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 2019-06-23
1114588142 Jamil Monique Gilliam Psychologist 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 2019-06-20
1891351326 Bianchini-esteve-edwards LLC Psychologist 7252 Lakeshore Dr, New Orleans, LA 70124-2433 2019-05-09
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Competitor

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City COVINGTON
Zip Code 70433

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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