Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MANDI LYNNE CLARK, NCSP
Active Sole ProprietorMRS. MANDI LYNNE CLARK, NCSP is a School Psychologist healthcare provider located in COLCHESTER, Illinois. NPI 1093239758 is currently active in the NPPES registry. Verify at CMS.
School Psychologist · COLCHESTER, IL
Registration Details
- NPI Number
- 1093239758
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2017 (9.060274025373 yrs)
- Last Updated
- Mar 17, 2018
- License
-
1909260 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 S COAL STCOLCHESTER, IL, 623261209Browse IL providers · Browse ZIP 62326
- Phone
- 3097763002
- Fax
- 3097763002
- Primary Specialty
-
School Psychologist
103TS0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.