Individual
CHRISTINA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
666 HIGH ST, SUITE 200-D, WORTHINGTON, OH 43085-4135
(614) 430-8920
(614) 430-8920
Mailing address
666 HIGH ST, SUITE 200-D, WORTHINGTON, OH 43085-4135
(614) 430-8920
(614) 430-8920
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5317
OH
Other
Enumeration date
08/02/2005
Last updated
09/28/2012
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