Individual
DR. DAVID B CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
16216 BAXTER RD, SUITE 323, CHESTERFIELD, MO 63017-4770
(636) 537-8222
(636) 537-8223
Mailing address
16216 BAXTER RD, SUITE 323, CHESTERFIELD, MO 63017-4770
(636) 537-8222
(636) 537-8223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00939
MO
Other
Enumeration date
10/18/2006
Last updated
07/09/2007
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