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NPI Code Detail

MEDICARE: DR. CLARK E BARSHINGER PH.D.

MEDICARE:  DR. CLARK E BARSHINGER  PH.D.
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
1103TC0700XClinical Psychologist071001921IL

General Provider Information

NPI Number : 1528135126
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLARK E BARSHINGER PH.D.
Provider Business Mailing Address
First Line : 61 S OLD RAND RD
Second Line :
City : LAKE ZURICH
State : IL
Zip : 60047-3127
Country : US
Telephone Number : 847-438-4222
Fax Number : 847-438-0844
Provider Business Practice Location Address
First Line : 61 S OLD RAND RD
Second Line :
City : LAKE ZURICH
State : IL
Zip : 60047-3127
Country : US
Telephone Number : 847-438-4222
Fax Number : 847-438-0844
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 06/17/2009

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Directions to “ DR. CLARK E BARSHINGER PH.D.” Practice Location

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