| William Clark Phd And Associates, Plc | |
|
2110 Gallows Rd # B Vienna VA 22182-3962 | |
| (703) 506-8378 | |
| (703) 893-1011 |
| Full Name | William Clark Phd And Associates, Plc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2110 Gallows Rd # B, Vienna, Virginia |
| Authorized Official Name and Position | William W Clark (DIRECTOR) |
| Authorized Official Contact | 7035068378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Clark Phd And Associates, Plc 2110 Gallows Rd # B Vienna VA 22182-3962 Ph: (703) 506-8378 | William Clark Phd And Associates, Plc 2110 Gallows Rd # B Vienna VA 22182-3962 Ph: (703) 506-8378 |
| NPI Number | 1255549861 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255549861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0810002215 (Virginia) | Primary |
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