Individual
DR. JENIFER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
845 W END AVE APT 2A, NEW YORK, NY 10025-8436
(917) 584-3007
Mailing address
845 W END AVE APT 2A, NEW YORK, NY 10025-8436
(917) 584-3007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024217
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
024217
NY
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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