Dr William Walter Clark, PHD - Psychologist in Vienna, VA

Dr William Walter Clark, PHD is a Psychologist - Clinical based in Vienna, Virginia. Dr William Walter Clark is licensed to practice in Virginia (license number 0810002215) and his current practice location is 2110 Gallows Rd # B, Vienna, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 506-8378.

NPI number for Dr William Walter Clark is 1972716702 and his current mailing address is 1514 Thurber St, Herndon, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972716702.

Contact Information

Dr William Walter Clark, PHD
2110 Gallows Rd # B,
Vienna, VA 22182-3962
(703) 506-8378
(703) 893-1011

Map and Direction




Healthcare Provider's Profile

Full NameDr William Walter Clark
GenderMale
SpecialityPsychologist - Clinical
Location2110 Gallows Rd # B, Vienna, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972716702
  • Provider Enumeration Date: 05/08/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr William Walter Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972716702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0810002215 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr William Walter Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr William Walter Clark, PHD
1514 Thurber St,
Herndon, VA 20170-2565

Ph: (703) 904-9046
Dr William Walter Clark, PHD
2110 Gallows Rd # B,
Vienna, VA 22182-3962

Ph: (703) 506-8378

Reviews and Comments


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