Individual
TANA L CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
877 BALTIMORE ANNAPOLIS BLVD STE 202, SEVERNA PARK, MD 21146-4716
(410) 684-3806
(410) 821-8042
Mailing address
877 BALTIMORE ANNAPOLIS BLVD STE 202, SEVERNA PARK, MD 21146-4716
(410) 684-3806
(410) 421-8042
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04890
MD
Other
Enumeration date
10/27/2010
Last updated
06/01/2022
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