Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN CLARK, BA HISTORY
ActiveJUSTIN CLARK, BA HISTORY is a Developmental Therapist healthcare provider located in SOUTHERN PINES, North Carolina. NPI 1114360807 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · SOUTHERN PINES, NC
Registration Details
- NPI Number
- 1114360807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2013 (13.359160091825 yrs)
- Last Updated
- Apr 11, 2013
Practice Information
- Address
-
1280 CENTRAL DRSOUTHERN PINES, NC, 283872102Browse NC providers · Browse ZIP 28387
- Phone
- 9106923323
- Fax
- 9106921114
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in SOUTHERN PINES, NC
| Name | Credential | NPI |
|---|---|---|
| CAROLYN MCLEAN | BK (TEACHER) | 1528301140 |
| PAULA DAIGLE | BA (TEACHER) | 1659714343 |
| PAIGE PATTON | MSW | 1447693130 |
| IVY N MCLEOD | — | 1336573781 |
| ANN BLANTON HOWARD | — | 1477989754 |
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.