MR. KEITH LYLE CLARK MA
NPI 1376811018
Counselor - Mental Health in San Francisco, CA
Active since December 08, 2011
About Mr. Keith Lyle Clark Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEITH LYLE CLARK MA (NPI 1376811018) is an individual mental health provider in San Francisco, California and active in the NPI registry since December 2011.
NPPES Registry Identity
NPI1376811018
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KEITH LYLE CLARKCredential: MA
Location Address1500 FRANKLIN STSan Francisco, CA 94109-4523
Mailing Address1500 Franklin StSan Francisco, CA 94109-4523 · (415) 255-5852
Phone(415) 476-4980
Sole ProprietorNo
Enumeration DateDecember 8, 2011
Last NPPES UpdateMarch 19, 2014
✔ NPI 1376811018 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1500 FRANKLIN ST, San Francisco, CA 94109
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Nurse Practitioner (Psychiatric/Mental Health)
1500 FRANKLIN ST
SAN FRANCISCO, CA 94109
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1500 FRANKLIN ST
SAN FRANCISCO, CA 94109
SAN FRANCISCO, CA 94109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376811018, enumerated as an "individual" on December 08, 2011.
The provider is located at 1500 FRANKLIN ST SAN FRANCISCO, CA 94109 and the phone number is (415) 476-4980.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
