Individual
DR. TARA LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6751 N CHESTNUT ST, RAVENNA, OH 44266-3903
(330) 296-3641
Mailing address
6751 N CHESTNUT ST, RAVENNA, OH 44266-3903
(330) 296-3641
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
07627
OH
Other
Enumeration date
06/16/2011
Last updated
06/10/2021
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