Individual provider · Type 1 NPI

Clark Robert Thompson, MA

Student in an Organized Health Care Education/Training Program · Fayetteville, AR

NPI number 1003284274 Active

Practice location

86 W Sunbridge Dr
Fayetteville, AR 72703-1822

Call (479) 435-6360 Map

Mailing address

405 Central Ave
Northfield, IL 60093-3006

Other practice locations

  • 405 Central Ave, Northfield, IL 60093-3006 · (847) 441-5600

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X1810AP-PL (AR)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5 other providers at this address

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About NPI 1003284274

Clark Robert Thompson, MA's National Provider Identifier is 1003284274, issued on Sep 4, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 31, 2018.