MRS. SUSAN NOBLE CLARK (NPI# 1841537990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841537990 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN NOBLE CLARK |
| Practice Address |
1730 Radcliffe Rd Montgomery AL 36106-2620 |
| Practice Telephone | 3342790684 |
| Mailing Telephone | 3342790684 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | 222Q00000X | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161950 | Susan Marie Clark | Nurse Practitioner | 674 Coral Way, Winter Springs, FL 32708-3127 | 2020-07-09 |
| 1528591575 | Susan Clark | Counselor | 604 S Walnut, Stillwater, OK 74074-4222 | 2017-04-06 |
| 1790178556 | Susan March Clark | Peer Specialist | 3277 E 2nd St, Tulsa, OK 74104-2134 | 2015-03-17 |
| 1881963411 | Susan Clark | Occupational Therapy Assistant | 38 Wheeler Ave, Warwick, NY 10990-1341 | 2011-12-28 |
| 1437302684 | Susan Maslin Clark | Chiropractor | 20416 Bowfonds St, Ashburn, VA 20147-7457 | 2008-11-01 |
| 1871780940 | Susan Marie Clark | Counselor | 112 S Water St Ste B, Kent, OH 44240-3689 | 2007-10-02 |
| 1750403861 | Susan M Clark | Psychologist | 1022 Cherokee Ave, Royal Oak, MI 48067 | 2007-04-06 |
| 1598892085 | Susan L Clark | Psychiatry & Neurology | 9515 60th Ave W, Mukilteo, WA 98275 | 2007-02-28 |
| 1609968692 | Susan M Clark | Pediatrics | 1318 S Main Road, Vineland, NJ 08360 | 2006-09-28 |
| 1093721359 | Susan Kay Clark | Dietitian, Registered | 2621 W Wackerly St, Suite D, Midland, MI 48640-6993 | 2006-07-31 |
| Street Address |
1730 RADCLIFFE RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431859 | Michele L Lloyd | Developmental Therapist | 975 S 650 E, Montgomery, IN 47558-5592 | 2020-06-08 |
| 1093286742 | Angela Persico | Developmental Therapist | 2293 Jason Dr, Montgomery, IL 60538-5024 | 2018-12-06 |
| 1538647318 | Lyndsey E Wolverton | Developmental Therapist | 3265 Millrace Ln, Montgomery, IL 60538-3448 | 2018-08-02 |
| 1437534153 | Vanessa Baier | Developmental Therapist | 2062 William Dr, Montgomery, IL 60538-6004 | 2015-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548772734 | Katy Nell Pearson | Developmental Therapist | 607 26th St, Tuscaloosa, AL 35401-5817 | 2017-10-29 |
| 1023486693 | Susan Evans | Developmental Therapist | 4000 Eagle Point Corporate Dr Ste 500, Birmingham, AL 35242-1900 | 2015-09-12 |
| 1386039493 | Sarah Pencille | Developmental Therapist | 306 Wynn Dr Nw, Huntsville, AL 35805-1961 | 2015-04-06 |
| 1720482961 | King Lewis | Developmental Therapist | 905 Ridgegate Pl, Huntsville, AL 35801-1986 | 2014-10-17 |
| 1841620820 | Meghann Kernan | Developmental Therapist | 815 27th Ave, Tuscaloosa, AL 35401-2119 | 2013-11-12 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| 1013269059 | Bailey Manlief | Developmental Therapist | 10486 Covey Rise Cir, Tuscaloosa, AL 35405-9629 | 2012-10-14 |
| 1578742128 | Mary Jane Quinn | Developmental Therapist | 708 5th St Nw, Attalla, AL 35954-2007 | 2007-10-31 |
| 1215156872 | The Riley Behavioral and Educational Center | Developmental Therapist | 300 Clinton Ave E, Huntsville, AL 35801-6701 | 2007-04-24 |
| 1205302049 | Laurin Mitchell | Developmental Therapist | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2018-10-19 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.