MS. ALICE M CLARK


Address: 5377 Manhattan Cir, Suite 200, Boulder, CO 80303-4333
Phone: 3032637855

MS. ALICE M CLARK (NPI# 1760495329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760495329
Entity Type Individual
Full Name MS. ALICE M CLARK
Credential MA, LPC, CACIII
Practice Address 5377 Manhattan Cir
Suite 200
Boulder
CO 80303-4333
Mailing Address 1786 Yaupon Ave
Boulder
CO 80304-4364
Practice Telephone 3032637855
Mailing Telephone 3032637855
Enumeration Date 2006-08-14
Last Update Date 2011-03-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
5499 CO Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
1687 CO Behavioral Health & Social Service Providers

Other Providers ALICE CLARK

NPI Name Taxonomy Address Enumeration
1821374372 Alice Clark Lactation Consultant, Non-RN 1776 Fair Ave, Simi Valley, CA 93063-3228 2011-10-28
1063589299 Alice Clark Respite Care 10720 E. Marigold Lane, Florence, AZ 85232 2006-11-30
1285641670 Alice L Clark Social Worker 1114 W Pioneer Pkwy, Arlington, TX 76013-6367 2006-08-01
1033501382 Alice Halsey Clark Registered Nurse 10362 Sw Mcdonald, Tigard, OR 97224 2015-02-24
1831455708 Alice Clark Licensed Practical Nurse 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 2012-04-05
1598813073 Alice Ann Clark Psychologist 55 S Main St, Waterbury, VT 05676-1556 2007-01-08

Office Location

Street Address 5377 MANHATTAN CIR
SUITE 200
City BOULDER
State CO
Zip Code 80303-4333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295717916 Charles Cary Gold Physical Therapist 5377 Manhattan Cir, Suite 102, Boulder, CO 80303-4344 2005-11-17
1326580929 Judith Bolles Physical Therapist 5377 Manhattan Cir, Suite 202, Boulder, CO 80303-4333 2016-11-14
1306293550 Julie Rappaport Counselor 5377 Manhattan Cir, #204, Boulder, CO 80303-4333 2016-05-18
1407135601 Beth Julie Aronow Counselor 5377 Manhattan Cir, Suite 200, Boulder, CO 80303-4333 2011-08-05
1700176112 Krista Eleanor Steckman Physical Therapist 5377 Manhattan Cir, Suite 104, Boulder, CO 80303-4333 2011-04-19
1134399256 Jennifer Davis Dossett Midwife, Lay 5377 Manhattan Cir, Suite 200, Boulder, CO 80303-4333 2008-03-04
1699958306 Pelvic Therapy Specialists, PC Clinic/Center 5377 Manhattan Cir, Suite #104, Boulder, CO 80303-4333 2007-12-17
1174642433 Cary Gold Physical Therapy Inc Physical Therapist 5377 Manhattan Cir, Suite 102, Boulder, CO 80303-4333 2007-03-28
1316083348 Registered Physical Therapy Associates, PC Physical Therapist 5377 Manhattan Cir, 202, Boulder, CO 80303-4333 2007-01-29
1205972379 Lori Marie Saige Physical Therapist 5377 Manhattan Cir, Suite 202, Boulder, CO 80303-4333 2007-01-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821583725 Ariel Meyers Physical Therapist Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 2018-06-25
1831683838 Sandra Ramsey Occupational Therapist 350 Ponca, Boulder, CO 80303 2018-06-22
1770085243 Laura Michelle Boucher Physical Medicine & Rehabilitation 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 2018-03-01
1396255568 Colorado Sports Chiropractic Chiropractor 1440 28th St Ste 2, Boulder, CO 80303 2017-10-02
1932618782 Michele Adrienne Packard Psychologist 4410 Arapahoe Suite 140, Boulder, CO 80303 2017-09-25
1134505290 Bili Blanket Baby, LLC Durable Medical Equipment & Medical Supplies 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 2015-07-30
1710378146 Jonathan Gardiner Lears Counselor 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 2015-02-06
1114316965 Northstar Transitions Substance Abuse Rehabilitation Facility 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 2015-01-16
1902226434 Integrated Dermatology of Boulder, Pllc Dermatology 2935 Baseline Road, Suite 201, Boulder, CO 80303 2014-04-23
1396160081 Melissa Rupert Physical Therapist 975 Waite Drive, Boulder, CO 80303 2014-03-04
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881205466 Sara Horn Counselor 4650 White Rock Cir Apt 12, Boulder, CO 80301-5373 2020-08-16
1669095618 Allison Margaret Leddy Villarreal Counselor 737 29th St Ste 200f, Boulder, CO 80303-2474 2020-05-26
1265053961 Positive Regard Psychotherapy Pllc Counselor 3102 Gamow Ln, Boulder, CO 80301-5465 2020-05-04
1154953776 Willow Mae Arlenea Counselor 4500 19th St Lot 379, Boulder, CO 80304-0663 2020-02-11
1336779925 Lisa Wallace Counselor 2769 Iris Ave Ste 107, Boulder, CO 80304-4405 2020-01-22
1952952764 Lauren Bleu Northrup Counselor 170 Seminole Dr, Boulder, CO 80303-4227 2019-09-23
1750947289 Shelly Froehlich Counselor 1637 28th St Ste 201, Boulder, CO 80301-1001 2019-05-09
1003470139 Kim Ann Merrill Counselor 6658 Gunpark Dr Ste 201, Boulder, CO 80301-3375 2019-04-24
1477019222 Elizabeth Ann Maher Counselor 4949 Broadway St Ste 201, Boulder, CO 80304-0578 2019-02-18
1124592225 Stepheny Antrobus Counselor 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 2019-01-11
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Competitor

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City BOULDER
Zip Code 80303

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Dataset Information

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.

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