Individual provider · Type 1 NPI

Thomas Edward Clark, LMFT, LMFT

Student in an Organized Health Care Education/Training Program · Albany, NY

NPI number 1053558205 Active

Practice location

980 Western Avenue
Albany, NY 12202

Call (518) 662-0621 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X56783 (CA)

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.

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About NPI 1053558205

Thomas Edward Clark, LMFT, LMFT's National Provider Identifier is 1053558205, issued on Jan 9, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albany, NY. The record was last updated on Sep 5, 2014.