Individual
DR. KATREN ELIZABETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
70 BIRCH ALLEY, SUITE 240, DAYTON, OH 45440
(610) 608-6110
Mailing address
2156 TOURNEY TRL, BEAVERCREEK, OH 45434-8044
(610) 608-6110
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.07876
OH
Other
Enumeration date
05/05/2019
Last updated
05/05/2019
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