Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paris Clack, PT

Individual provider Licensed Psychiatric Technician · NPI 1316644792

Paris Clack, PT is a Licensed Psychiatric Technician in Roseville, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1133 Coloma Way Ste C
Roseville, CA 95661-4480
Phone: (916) 774-6456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 42058 (CA)

Record details

NPI number1316644792
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 15, 2023
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 15, 2023
Mailing address7246 Remmet Ave, Canoga Park, CA 91303-1531

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