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ALICE ANN CLARK PHD
NPI 1598813073
Psychologist - Clinical in Waterbury, VT

Active since January 08, 2007
55 S MAIN ST, WATERBURY, VT 05676(802) 585-0297 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alice Ann Clark Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE ANN CLARK PHD (NPI 1598813073) is an individual clinical provider in Waterbury, Vermont, licensed in Vermont (048.0057921) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1598813073
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameALICE ANN CLARKCredential: PHD
Location Address55 S MAIN STWaterbury, VT 05676-1556
Mailing AddressPo Box 458Stowe, VT 05672-0458 · (802) 585-0297
Phone(802) 585-0297
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 1, 2010
✔ NPI 1598813073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in VT · 048.0057921✔ Licensed in MA · 7094
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
55 S MAIN ST, Waterbury, VT 05676
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Other Identifiers 2

OtherW06Z86MA · Bcbs
Medicare ID-Type UnspecifiedCLW51246

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL L BUCK-ROLLAND NP
Nurse Practitioner (Women's Health)
55 S MAIN ST
WATERBURY, VT 05676
Washington County (802) 244-5651
MS. KAMALA JEAN KELTON LCMHC
Counselor (Mental Health)
55 S MAIN ST, BOX 4
WATERBURY, VT 05676
Washington County (802) 244-7937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Clark's NPI number?

The NPI number for Alice Clark is 1598813073. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Alice Clark located?

Alice Clark practices at 55 S Main St, Waterbury, VT 05676. The listed phone number is (802) 585-0297.

What is Alice Clark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Alice Clark was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.