Individual
DR. HEATHER JORDON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2124 NE 65TH ST, FORT LAUDERDALE, FL 33308-1010
(754) 800-2345
Mailing address
2124 NE 65TH ST, FORT LAUDERDALE, FL 33308-1010
(754) 800-2345
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7620
FL
Other
Enumeration date
01/10/2008
Last updated
06/26/2023
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