| Racheal Clark, PHD, BCBA | |
|
6100 Daylong Ln Ste 103, Clarksville, MD 21029-1631 | |
| (410) 531-8100 | |
| Not Available |
| Full Name | Racheal Clark |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 6100 Daylong Ln Ste 103, Clarksville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124685805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 06447 (Maryland) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Arundel Mental Health Professionals LC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073649521 PECOS PAC ID: 4981688173 Enrollment ID: O20040615001556 |
| Entity Name | Brighter Hope Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881192664 PECOS PAC ID: 6901276419 Enrollment ID: O20221227002179 |
| Mailing Address | Practice Location Address |
|---|---|
| Racheal Clark, PHD, BCBA 6100 Daylong Ln Ste 103, Clarksville, MD 21029-1631 Ph: (410) 531-8100 | Racheal Clark, PHD, BCBA 6100 Daylong Ln Ste 103, Clarksville, MD 21029-1631 Ph: (410) 531-8100 |
Keith William Hannan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12037 Floating Clouds Path, Clarksville, MD 21029 Phone: 410-707-0100 |
Dr. Suzanne Michelle Guerzon, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12840 Brighton Dam Rd, Clarksville, MD 21029 Phone: 301-854-2889 Fax: 443-276-0922 |
Ashley Boehm, PSYCH ASSOCIATE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6100 Daylong Ln, Clarksville, MD 21029 Phone: 410-531-8100 |
Dr. Reginald Arnold Schoonover, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6412 Western Star Run, Clarksville, MD 21029 Phone: 202-342-1419 Fax: 866-689-1732 |
Dr. Loretta Elizabeth Baum, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6100 Daylong Ln Ste 103, Clarksville, MD 21029 Phone: 410-531-8100 |
Dr. Cindy Terlonge Graham, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6100 Daylong Ln Ste 103, Clarksville, MD 21029 Phone: 443-672-8478 |
Claudia Joe Salter, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 6100 Daylong Ln Ste 103, Clarksville, MD 21029 Phone: 410-531-8100 |