ELIZABETH F CLARK (NPI# 1548755176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548755176 |
| Entity Type | Individual |
| Full Name | ELIZABETH F CLARK |
| Credential | PH.D. |
| Practice Address |
16 Gleasondale Rd Stow MA 01775-1465 |
| Mailing Address |
Po Box 381006 Cambridge MA 02238-1006 |
| Practice Telephone | 9782959090 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
7190 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 280 Old Sudbury Rd, Sudbury, MA 017761843 | 9784431085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192959 | Elizabeth Grace Clark | Physical Therapist | 1010 Monarch St Ste 150, Lexington, KY 40513-1892 | 2018-08-02 |
| 1699217927 | Elizabeth Clark | Counselor | 4200 Ridgecrest Cir Ste A-6, Amarillo, TX 79109-5416 | 2016-11-17 |
| 1346604584 | Elizabeth Ann Clark | Nurse Practitioner | 32 Allen Ct, Staten Island, NY 10310-2703 | 2016-04-13 |
| 1356706543 | Elizabeth Clark | Public Health or Welfare | 295 Broadmeadow Cv, Roswell, GA 30075-2950 | 2015-12-15 |
| 1477946770 | Elizabeth Clark | Counselor | 1250 Route 171, Woodstock, CT 06281-2127 | 2015-03-10 |
| 1649674847 | Elizabeth Clark | Nurse Practitioner | 620 19th Street South 5th Floor Spain Wallace P572c, Birmingham, AL 35233-7410 | 2014-10-16 |
| 1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| 1700187564 | Elizabeth B Clark | Physical Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 | 2010-11-10 |
| 1689989493 | Elizabeth Ann Clark | Pharmacist | 2601 S New Hope Rd, Gastonia, NC 28056-2200 | 2010-08-17 |
| Street Address |
16 GLEASONDALE RD |
| City | STOW |
| State | MA |
| Zip Code | 01775-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841458775 | Daiana Dacosta | Marriage & Family Therapist | 132 Great Rd Ste 200, Stow, MA 01775 | 2008-05-28 |
| 1225106065 | Stephen H Howard | Acupuncturist | Gateway Health Associates, 150 Harvard Road, Stow, MA 01775 | 2006-12-01 |
| 1679520126 | Shaws Supermarkets Inc | Pharmacy | 155 Great Rd, Stow, MA 01775 | 2006-05-30 |
| 1649449174 | Margaret Klepacz Dds PC | Clinic/Center | 118 Great Rd, Stow, MA 01775 | 2008-02-28 |
| 1558575928 | Dorothy C Hudson | Registered Nurse | 132 Great Rd, Stow, MA 01775 | 2007-05-09 |
| 1205961174 | Gordon H. Homer | Psychologist | 309 Hudson Rd, Stow, MA 01775-0123 | 2007-02-22 |
| 1376710897 | Karyn Plickert Bristol | Social Worker | 66 Harvard Rd, Stow, MA 01775-1027 | 2008-05-14 |
| 1871703637 | Molly Kurian | Internal Medicine | 43 Delaney St, Stow, MA 01775-1063 | 2007-05-23 |
| 1396248654 | Bridgett Johanna Sadler | Social Worker | 27 Kirkland Dr, Stow, MA 01775-1076 | 2018-03-13 |
| 1194735068 | Eric Stephen Kraus | Dentist | 154 Great Rd., Stow, MA 01775-1125 | 2006-08-09 |
| Find all providers in zip 01775 | ||||
| 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 |
|---|---|---|---|---|
| 1518575786 | Eavan Miles-mason, Phd, LLC | Psychologist | 319 Peakham Rd, Sudbury, MA 01776-2757 | 2020-07-14 |
| 1184247132 | Lauren R Blakely | Psychologist | 96 Fairbanks Ave, Wellesley, MA 02481-5256 | 2020-05-26 |
| 1881220986 | Katharine Dunson Oconnell | Psychologist | 144 Forest St, Wellesley Hills, MA 02481-6832 | 2020-03-20 |
| 1710457577 | Karla Lizbet Rivas | Psychologist | 44 Mansfield St, Allston, MA 02134 | 2018-12-04 |
| 1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
| 1043706419 | Jessica Shepley | Psychologist | 72 Fox Hill Rd, Bernardston, MA 01337-9586 | 2018-07-09 |
| 1528552619 | Heather Duckworth Smith | Psychologist | 5 Seal Cove Ln, Hingham, MA 02043-1050 | 2018-06-21 |
| 1467946251 | Olivia Moorehead-slaughter | Psychologist | 171 Goddard Ave, Brookline, MA 02445-7412 | 2018-06-15 |
| 1710479522 | David Arnold | Psychologist | 35 Hop Brook Rd, Amherst, MA 01002-2771 | 2018-06-06 |
| 1164912671 | David Kerr Wilcox | Psychologist | 55 Brantwood Rd, Arlington, MA 02476-8003 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
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| 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.