Connie Clark, PHD

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

CL74399 Issued in PA

Practice address

2230 Boyd Rd
Murrysville, PA 15632-8997

Phone

(724) 691-2460

NPI assigned

Jan 26, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1942572698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 HEMINGWAY DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019076",
            "telephone_number": "724-691-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 BOYD RD",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156328997",
            "telephone_number": "724-691-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CONNIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "PA",
            "license": "CL74399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph R Chrillo, M.S., P.T.
• Christine L Tragesser
• Czarmaine Andaya Ciccotelli, DPT, PT
• Janice Elizabeth Cigich, RPH
• Colleen Cimba
• Frank E Clark, M.A, CCC-SLP
• Deborah J Co, M.D.
• Coco Chiropractic Associates, LLC
• Heather Marie Coco, D.C.
• John Phillip Coco, D.C.

• Pastoral Counselor in Murrysville, PA
• Providers in Murrysville, PA by specialty
• Pastoral Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.