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Carol Shelby Clark

Occupational Therapist Occupational Therapist - Pediatrics

1647 Mallory Ln Suite 103
Brentwood , Tennessee 37027-2909

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Carol Shelby Clark

Occupational Therapist Occupational Therapist - Pediatrics

1647 Mallory Ln Suite 103
Brentwood , Tennessee 37027-2909

(615) 595-0812

Write a Review Save Call

Carol Shelby Clark

Occupational Therapist Occupational Therapist - Pediatrics

1647 Mallory Ln Suite 103
Brentwood , Tennessee 37027-2909

(615) 595-0812 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Occupational Therapist
  • Occupational Therapist - Pediatrics

Languages spoken

  • English

Location

1647 Mallory Ln Suite 103 Brentwood , Tennessee 37027-2909

First Address

  • Carol Shelby Clark
  • 926 Lawn View Ln
  • Franklin, TN
  • Zip : 37064-5566
  • Fax : (615) 595-0812
  • Phone : (901) 299-0669

Second Address

  • Carol Shelby Clark
  • 1647 Mallory Ln Suite 103
  • Brentwood, TN
  • Zip : 37027-2909
  • Fax : (615) 277-2838
  • Phone : (615) 661-5437

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FAQs


Where did Carol Shelby Clark attend graduate school?

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Where did Carol Shelby Clark do her residency?

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Where did Carol Shelby Clark do her fellowship?

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Is Carol Shelby Clark board certified?

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What type of doctor is Carol Shelby Clark

Occupational Therapist

In what state does Carol Shelby Clark practice in?

Tennessee

Where is Carol Shelby Clark ’s practice located?

1647 Mallory Ln Suite 103 , Brentwood, Tennessee, 37027-2909

What is Carol Shelby Clark ’s gender?

Female

Is Carol Shelby Clark a sole practitioner?

No

Is Carol Shelby Clark accepting new patients?

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What languages does Carol Shelby Clark speak?

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Does Carol Shelby Clark accept insurance?

Yes, Carol Shelby Clark accepts insurance

Does Carol Shelby Clark offers telemedicine?

Carol Shelby Clark has not indicated if she offers telemedicine

What is Carol Shelby Clark ’s professional license number?

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What is Carol Shelby Clark ’s NPI number?

1053343681

Does Carol Shelby Clark have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 225X00000X Occupational Therapist 3421 TN
N 225XP0200X Occupational Therapist - Pediatrics 3421 TN

National Provider Identifier

NPI 1053343681
Provider Name Carol Shelby Clark
First Address Franklin, TN 37064-5566
Second Address Brentwood, TN 37027-2909
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 06/07/2006
Last Update Date 28/04/2009

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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