Individual
DR. CHRISTINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P.
Contact information
Practice address
7601 WAYZATA BLVD, SAINT LOUIS PARK, MN 55426-1623
(612) 223-8899
Mailing address
7601 WAYZATA BLVD, SAINT LOUIS PARK, MN 55426-1623
(612) 223-8899
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6417
MN
Other
Enumeration date
09/02/2016
Last updated
04/20/2023
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