Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA CLARK
Active Sole ProprietorAMANDA CLARK is a Peer Specialist healthcare provider located in SOUTHGATE, Michigan. NPI 1255835351 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · SOUTHGATE, MI
Registration Details
- NPI Number
- 1255835351
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2018 (8.3593416262552 yrs)
- Last Updated
- Dec 21, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
13101 ALLEN RDSOUTHGATE, MI, 481952216Browse MI providers · Browse ZIP 48195
- Phone
- 7347857701
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Peer Specialist
Other Peer Specialist Providers in SOUTHGATE, MI
| Name | Credential | NPI |
|---|---|---|
| MR. JEFFREY DAVID MEYERS | — | 1215222609 |
| KATHLEEN MARIE CRANE | — | 1538582325 |
| KARIMA NATAKI TAYLOR | CPR-M | 1730571951 |
| AMY HOLLON | — | 1477068161 |
| PAUL SIMON VIERS | CPRC, CPRM, CPSS | 1043794597 |
| TAWANNA SPERLING | — | 1144874587 |
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.