Dulin W Clark, PH.D.
Individual provider Active NPI Counseling Psychologist · Hollidaysburg, PA
NPI 1447560636 · NPPES record last updated Dec 17, 2018
Key facts
- NPI
- 1447560636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- PS009217L (PA)
- Practice address
- 416 Allegheny St FL 1
Hollidaysburg, PA 16648-2026 - Phone
- (814) 505-3248
- NPI assigned
- Oct 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
416 Allegheny St
FL 1
Hollidaysburg, PA 16648-2026
Phone (814) 505-3248
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110928000039 | PA | Practitioner - Clinical Psychologist | 8527239375 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS009217L | PA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Counseling and Consulting LLC | Counseling | Current |
Accepting new patients |
Locations
416 Allegheny St
Fl 1
Hollidaysburg, PA 16648
Phone (814) 505-3248
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PS009217L | PA | Yes |
Addresses
Primary practice location
416 Allegheny St FL 1
Hollidaysburg, PA 16648-2026
Mailing address
416 Allegheny St
Hollidaysburg, PA 16648-2026
Phone (814) 505-3248
Other providers in Hollidaysburg, PA
- Central Pennsylvania Digital Learning Foundation
- Children'S Community Care
- Wen-Min Chuu
- Logan Claar
- Clark Counseling and Consulting LLC
- Kelsey Clark
- Adrian Clayton
- Community Case Management, LLC
- Derik M Comperatore
- Shawnee M. Coppersmith
All providers in Hollidaysburg, PA · Counseling Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.