Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANDREW PAUL CLACK, MA
Active Sole ProprietorMR. ANDREW PAUL CLACK, MA is a Marriage & Family Therapist healthcare provider located in RANCHO CUCAMONGA, California. NPI 1578903175 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · RANCHO CUCAMONGA, CA
Registration Details
- NPI Number
- 1578903175
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2013 (13.145582149991 yrs)
- Last Updated
- Sep 3, 2018
- License
-
96297 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9330 BASELINE RD STE 102RANCHO CUCAMONGA, CA, 91701Browse CA providers · Browse ZIP 91701
- Phone
- 9512352372
- Fax
- 9099812210
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in RANCHO CUCAMONGA, CA
| Name | Credential | NPI |
|---|---|---|
| MR. DENNIS LEE HARRIS | — | 1457361008 |
| KAREN LYNN LEVANDUSKI | MS MFT | 1851403638 |
| MRS. JENNIFER ANN HOUGER | M.S. | 1356434138 |
| KENNETH A OLSON | M.A., M.F.T. | 1851459614 |
| RHONDA LEE MCBRIDE | — | 1659427540 |
| MRS. SUSAN LYNN PAVONE | L.M.F.T. | 1407992456 |
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.