DR. BRUCE E CLARK PH.D.
NPI 1669212395
Psychologist in St Louis Park, MN
About Dr. Bruce E Clark Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRUCE E CLARK PH.D. (NPI 1669212395) is an individual psychologist in St Louis Park, Minnesota, licensed in Minnesota (LP7036) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Robbinsdale, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Bruce E Clark Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
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 Bruce Clark's NPI number?
The NPI number for Bruce Clark is 1669212395. It was assigned to this individual provider in the NPPES registry on May 30, 2024.
Where is Bruce Clark located?
Bruce Clark practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3123.
What is Bruce Clark's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Bruce Clark enrolled in Medicare?
Yes. Bruce Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Bruce Clark was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.