Individual
ANDREA R.O. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
31194 LA BAYA DR STE 100, WESTLAKE VILLAGE, CA 91362-6420
(805) 242-2429
(310) 870-7197
Mailing address
31194 LA BAYA DR STE 100, WESTLAKE VILLAGE, CA 91362-6420
(805) 242-2429
(310) 870-7197
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28374
CA
Other
Enumeration date
07/14/2009
Last updated
01/09/2025
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