Clark-Doolittle Assoc Pc

LBN: Clark-Doolittle Assoc Pc
Clark-Doolittle Assoc Pc is an health care organization with primary practice located at 71 Walker St , Cambridge MA 02138-2414. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Clark-Doolittle Assoc Pc can be contacted via phone (617) 547-7292, or through Clark, Kim via phone (617) 547-7292.

Contact Information

Primary practice address
71 Walker St Cambridge MA 02138-2414
Phone: (617) 547-7292
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Kim LICSW
Phone: (617) 547-7292

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0890000559 Vermont
Behavioral Health & Social Service Providers / Clinical 1041C0700X 101057 Massachusetts

Profile Details

NPI number 1164417424
LBN Legal business name Clark-Doolittle Assoc Pc
DBA Doing business as
Authorized official Clark, Kim LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164417424 NPPES
Vermont MEDICAID OUN2222

Popular Providers