Caleb Clark

Counselor · Riverdale, UT

Individual Active NPI

NPI number 1861934812

Practice location

5202 Freeway Park Dr
Riverdale, UT 84405-4016
Phone
(801) 255-5131

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NPI record

NPI
1861934812
Entity type
Individual (Type 1)
Enumeration date
November 8, 2016
Last updated
November 8, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

6013 S Redwood Rd
Taylorsville, UT 84123-5220
Phone
(801) 255-5131

About Caleb Clark

Caleb Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 5202 Freeway Park Dr, Riverdale, UT 84405-4016. The NPI number 1861934812 was assigned on November 8, 2016 and the record was last updated on November 8, 2016.

Frequently asked questions

What is the NPI number of Caleb Clark?

The NPI number is 1861934812.

What is the phone number of Caleb Clark?

The phone number listed for the practice location is (801) 255-5131.

Where is Caleb Clark located?

5202 Freeway Park Dr, Riverdale, UT 84405-4016.

What is the taxonomy code for Caleb Clark?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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