Individual
DR. AMY LOUISE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
940 W 17TH ST, UNIT C, SANTA ANA, CA 92706-4501
(714) 547-1456
(714) 953-0683
Mailing address
940 W 17TH ST, UNIT C, SANTA ANA, CA 92706-4501
(714) 547-1456
(714) 953-0683
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY7828
CA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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