Andrea R.o. Clark
Clinical Psychologist
2425 Bisso Ln Ste 100
Concord
, California 94520-4817
Andrea R.o. Clark
Clinical Psychologist
2425 Bisso Ln Ste 100
Concord
, California 94520-4817
(925) 330-2121
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Andrea R.o. Clark
- 1966 Tice Valley Blvd #233
- Walnut Creek, CA
- Zip : 94595-2203
- Phone : (925) 330-2121
Second Address
- Andrea R.o. Clark
- 2425 Bisso Ln Ste 100
- Concord, CA
- Zip : 94520-4817
- Phone : (925) 348-3895
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY28374 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY28374 | CA |
National Provider Identifier
| NPI | 1013146802 |
|---|---|
| Provider Name | Andrea R.o. Clark |
| First Address | Walnut Creek, CA 94595-2203 |
| Second Address | Concord, CA 94520-4817 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2009 |
| Last Update Date | 17/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.