Individual
DR. BETTY L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
205 E UNIVERSITY AVE, SUITE 155, GEORGETOWN, TX 78626-6814
(512) 864-2520
(254) 526-7853
Mailing address
205 E UNIVERSITY AVE, SUITE 155, GEORGETOWN, TX 78626-6814
(512) 864-2520
(254) 526-7853
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25588
TX
103TC0700X
Clinical Psychologist
25588
TX
Other
Enumeration date
05/12/2009
Last updated
10/22/2009
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