DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TINA MARIE CLARK, FSP

Active

TINA MARIE CLARK, FSP is a Peer Specialist healthcare provider located in IDABEL, Oklahoma. NPI 1871000877 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · IDABEL, OK

Registration Details

NPI Number
1871000877
Provider Type
Individual
Gender
Female
NPI Issued
Dec 29, 2017 (8.5922556955759 yrs)
Last Updated
Dec 29, 2017

Practice Information

Address
411 S CENTRAL AVE
IDABEL, OK, 747456059
Browse OK providers · Browse ZIP 74745
Phone
5802865045
Fax
5802865721
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in IDABEL, OK

Name Credential NPI
JANA K GALLOWAY BA, BHRS 1114062619
DAYNA NATASHA ERICKSON FSP 1184197626
LINDSAY M TROUT 1144929837
REBECKA SUE GOAD 1407543523
TE'RE MYRKS 1184306722
WENDY LYNN BURGE 1184577447
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.