Judith Z Clark, PHD Valid NPI

Individual provider · Clinical Psychologist · Mammoth Lakes, CA

NPI

1356440275

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

PSY13963 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2006-09-21

Last updated

2011-09-20