Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASONDRA CLARK
Active Sole ProprietorCASONDRA CLARK is a Emotionally Disturbed Children Residential Treatment healthcare provider located in SURPRISE, Arizona. NPI 1558210658 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · SURPRISE, AZ
Registration Details
- NPI Number
- 1558210658
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2026 (0.60576114683841 yrs)
- Last Updated
- Jan 22, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
17874 W BLOOMFIELD RDSURPRISE, AZ, 853885619Browse AZ providers · Browse ZIP 85388
- Phone
- 4804652920
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
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.