DR. KATREN ELIZABETH CLARK (NPI# 1023673100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023673100 |
| Entity Type | Individual |
| Full Name | DR. KATREN ELIZABETH CLARK |
| Credential | PSY.D. |
| Practice Address |
70 Birch Alley, Suite 240 Dayton OH 45440 |
| Mailing Address |
2156 Tourney Trl Beavercreek OH 45434-8044 |
| Practice Telephone | 6106086110 |
| Mailing Telephone | 6106086110 |
| Enumeration Date | 2019-05-05 |
| Last Update Date | 2019-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P.07876 | OH | Behavioral Health & Social Service Providers |
| Street Address |
70 BIRCH ALLEY, SUITE 240 |
| City | DAYTON |
| State | OH |
| Zip Code | 45440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1659902153 | Caryn Hoffman | Pharmacist | 5400 Cornerstone Blvd, Centerville, OH 45440 | 2020-02-03 |
| 1649784737 | Amy Lynn Winstead | Dietitian, Registered | 5721 Bigger Road, Kettering, OH 45440 | 2017-11-28 |
| 1104245455 | Aprscp, Inc. | Hearing Instrument Specialist | 3341 East Stroop Road, Kettering, OH 45440 | 2014-04-15 |
| 1457601858 | Victoria L Saylor | Pharmacy Technician | 4480 Indianripple Rd, Dayton, OH 45440 | 2012-09-12 |
| 1528368644 | Sara Jankowski | Art Therapist | 5178 Scarsdale Dr., Kettering, OH 45440 | 2010-10-22 |
| 1356651012 | Senior Options Group | Home Health | 4025 Marshall Road, Kettering, OH 45440 | 2010-10-15 |
| 1417106345 | Sheenu Goel | Dentist | 4235 Indian Ripple Rd., Suite 200a, Dayton, OH 45440 | 2008-09-16 |
| 1518164995 | Martin F Wilkes | Ophthalmology | 89 Sylvania Dr Fl 2, Beavercreek, OH 45440 | 2007-06-29 |
| Find all providers in zip 45440 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691074 | Rita A. Carlson, Psy.d., Pllc | Psychologist | 191 Shady Grove Ln, Dayton, NV 89403-6364 | 2020-08-26 |
| 1629379920 | Allison L Fernander | Psychologist | 9 North Edwin C Moses Blvd, Dayton, OH 45402-8470 | 2010-11-03 |
| 1548490667 | Rahema C Rodgers | Psychologist | 5045 N Main St Ste 223, Dayton, OH 45415-3637 | 2009-07-23 |
| 1710151295 | Cynthia Burton Levy | Psychologist | 17 Irongate Park Dr, Dayton, OH 45459-4616 | 2008-04-16 |
| 1033308119 | Alice L Claggett | Psychologist | 1159 Lyons Rd, Building E, Dayton, OH 45458-1857 | 2007-10-15 |
| 1740483031 | Roger G Schmidt | Psychologist | 88th Medical Group/mdos, 4881 Sugar Maple Dr., Dayton, OH 45433-5529 | 2007-06-06 |
| 1982826590 | Kathleen Ann Malloy | Psychologist | Ellis Institute, 9 N. Edwin C. Moses Blvd., Dayton, OH 45402 | 2007-05-03 |
| 1669692281 | James R. P. Fraser | Psychologist | 6550 Garber Rd, Dayton, OH 45415-2000 | 2007-04-26 |
| 1467675637 | David Nathan Zahm | Psychologist | 13612 Voland Ct, Dayton, MD 21036-1102 | 2007-04-10 |
| 1174646046 | Diana Guarnera Ackerley | Psychologist | 305 E Stroop Rd, Dayton, OH 45429-2827 | 2007-04-07 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.