PARIS CLACK, PT

Licensed Psychiatric Technician

Active Individual
NPI: 1316644792

Practice Address

1133 COLOMA WAY STE C
Roseville, CA 95661

Phone: (916) 774-6456

Specialties

Specialty Code Primary License
Licensed Psychiatric Technician 167G00000X Yes 42058 (CA)

Frequently Asked Questions

NPI 1316644792 is the National Provider Identifier for PARIS CLACK, PT, a Licensed Psychiatric Technician provider located in Roseville, CA. This NPI was enumerated on February 15, 2023.
PARIS CLACK, PT practices at 1133 COLOMA WAY STE C, Roseville, CA 95661.

Quick Facts

NPI
1316644792
Type
Individual
Enumerated
Feb 15, 2023
Last Updated
Feb 15, 2023

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