DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KATHERINE A CLARK

MEDICARE: KATHERINE A CLARK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC.2607484-TRNEOH

General Provider Information

NPI Number : 1255286225
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE A CLARK
Provider Business Mailing Address
First Line : 7031 CORPORATE WAY STE 103
Second Line :
City : DAYTON
State : OH
Zip : 45459-4262
Country : US
Telephone Number : 937-619-6089
Fax Number :
Provider Business Practice Location Address
First Line : 7031 CORPORATE WAY STE 103
Second Line :
City : DAYTON
State : OH
Zip : 45459-4262
Country : US
Telephone Number : 937-619-6089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

Similar Medicare Providers

1932581527 — MRS. DE'ASIA LANEE THOMPSON LISW-S
Practice Location Address:
7031 CORPORATE WAY STE 103
DAYTON, OH
45459-4262
Practice Phone: 937-619-6089
Practice Fax: 937-265-6028
1386188308 — TABATA C ALAIN MFT
Practice Location Address:
7031 CORPORATE WAY STE 103
DAYTON, OH
45459-4262
Practice Phone: 937-619-9089
Practice Fax: 937-328-7257
1093235566 — MS. ALIYAH WILSON M.ED., LPCC
Practice Location Address:
7031 CORPORATE WAY STE 103
DAYTON, OH
45459-4262
Practice Phone: 937-619-9089
Practice Fax:
1356857403 — DE'ASIA L. THOMPSON, LISW, LLC
Practice Location Address:
7031 CORPORATE WAY STE 103
DAYTON, OH
45459-4262
Practice Phone: 937-619-9089
Practice Fax: 937-265-6028
1194224733 — BINTOU BAH MSW, LSW
Practice Location Address:
7031 CORPORATE WAY STE 103
DAYTON, OH
45459-4262
Practice Phone: 937-619-9089
Practice Fax: 937-265-6028
1083192264 — JESSICA DANIELS
Practice Location Address:
7031 CORPORATE WAY STE 103
DAYTON, OH
45459-4262
Practice Phone: 937-619-9089
Practice Fax: 937-265-6028

Directions to “ KATHERINE A CLARK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.