Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AUTUMN CLARK, DO
ActiveDR. AUTUMN CLARK, DO is a Psychiatry healthcare provider located in SPRINGFIELD, Missouri. NPI 1912911090 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1912911090
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2006 (20.093028070891 yrs)
- Last Updated
- May 2, 2013
- Licenses
-
0102201521 (VA)2010017178 (MO)
Practice Information
- Address
-
1965 S FREMONT AVESUITE 330SPRINGFIELD, MO, 658042201Browse MO providers · Browse ZIP 65804
- Phone
- 4178208180
- Fax
- 4178208183
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| JOSEPH G. BABIN | MD | 1750387775 |
| MILDRED BALUYOT | MD | 1144226176 |
| ANTONIO S. DIMALANTA | MD | 1992701817 |
| MERRY ESCANO-BROWN | MD | 1962408807 |
| EDGAR L. GALINANES | MD | 1134125081 |
| DR. CHARLES ALAN THOMAS | M.D. | 1003812074 |
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.