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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
571 | LA | Behavioral Health & Social Service Providers |
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 |
Street Address |
203 W 21ST AVE |
City | COVINGTON |
State | LA |
Zip Code | 70433-3151 |
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 |
Find all providers in zip 70433 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. PETER CLARK.
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.