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Individual
DR. PAMELA MORRIS CLARK
Active
Individual
DR. PAMELA MORRIS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010460
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02 026 479
—
NY
01
—
6800353
GHI, VALUE OPTIONS
NY
Enumeration date
12/07/2005
Last updated
07/09/2007
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