Clack, Terri Marie

Clack, Terri Marie is an individual health care provider with primary practice located at 169 Libbey Industrial Pkwy , Weymouth MA 02189-3189. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clack, Terri Marie can be contacted via phone (781) 551-0999.

Contact Information

Primary practice address
169 Libbey Industrial Pkwy Weymouth MA 02189-3189
Phone: (781) 551-0999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN214255 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN214255 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2362195 Massachusetts

Profile Details

NPI number 1487169173
LBN Legal business name Clack, Terri Marie
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2017
Last updated Apr 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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