Individual
DR. AILEEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
250 WEST ST, SUITE 11F, NEW YORK, NY 10013
(917) 815-9616
Mailing address
250 WEST ST, SUITE 11F, NEW YORK, NY 10013
(917) 815-9616
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012551
NY
Other
Enumeration date
03/08/2008
Last updated
09/19/2024
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