Individual
ELIZABETH ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
24 W PROSPECT ST, NEW HAVEN, CT 06515-1607
(203) 903-7870
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
003240
CT
103TC0700X
Clinical Psychologist
Primary
003240
CT
103TH0004X
Health Psychologist
003240
CT
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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