Terrell A Clark, PHD - Psychologist in Waltham, MA

Terrell A Clark, PHD is a Psychologist - Clinical Child & Adolescent based in Waltham, Massachusetts. Terrell A Clark is licensed to practice in Massachusetts (license number 2856) and her current practice location is 9 Hope Ave, Waltham, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (781) 216-2200.

NPI number for Terrell A Clark is 1043283724 and her current mailing address is 34 Meadow Rd, Bolton, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043283724.

Contact Information

Terrell A Clark, PHD
9 Hope Ave,
Waltham, MA 02453-2741
(781) 216-2200
(781) 647-8914

Map and Direction




Healthcare Provider's Profile

Full NameTerrell A Clark
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location9 Hope Ave, Waltham, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043283724
  • Provider Enumeration Date: 02/11/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Terrell A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043283724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent 2856 (Massachusetts)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. Terrell A 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
Terrell A Clark, PHD
34 Meadow Rd,
Bolton, MA 01740-1120

Ph: (978) 779-6133
Terrell A Clark, PHD
9 Hope Ave,
Waltham, MA 02453-2741

Ph: (781) 216-2200

Reviews and Comments


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