Individual
DR. SHAWN L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2400 HOSPITAL RD, 123, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 725-3262
Mailing address
2400 HOSPITAL RD, 123, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 725-3262
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002809
GA
Other
Enumeration date
01/18/2007
Last updated
07/12/2007
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