Provider / Organization | NPI | Date Certified |
---|---|---|
ALEXIS CLARKE | 1831510957 | 2021-10-10 |
Alexis Clarke is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831510957. Registration indicates Alexis Clarke is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Dr. Alexis Clarke PH.D. |
Practice Office Address | 2501 CHATHAM RD STE R SPRINGFIELD, IL US |
Practice Office Telephone | 7735993141 |
Mailing Address | 2501 CHATHAM RD STE R SPRINGFIELD, IL 627044188 US |
Business Telephone | 7735993141 |
Code | Practice | License No State |
---|---|---|
103T00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist Behavioral Health/Substance Abuse/Psychiatry Psychologist Behavioral Health & Social Service Providers | 071008691
IL |