# JERRY W CLARK, PHD, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Behavioral Services Ltd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750678108
- **Authorized official:** DR. JERRY W CLARK PH.D. (OWNER)
- **Authorized official phone:** (775) 772-0392

## Contact information

- **Practice address:** 200 SO. VIRGINIA ST., 8TH FLOOR, RENO, NV 89501-2405
- **Practice address phone:** (775) 772-0392
- **Practice address fax:** (775) 772-0392
- **Mailing address:** P. O. BOX 14223, RENO, NV 89507-4223
- **Mailing address phone:** (775) 772-0392
- **Mailing address fax:** (775) 972-6377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 00004-C | NV | Yes |

## Other

- **Enumeration date:** 07/06/2011
- **Last updated:** 07/13/2011