Individual
DANIELLE Y CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCP
Contact information
Practice address
120 E 2ND ST, 3RD FLOOR, ERIE, PA 16507-1537
(814) 452-8300
(814) 452-8308
Mailing address
120 E 2ND ST, 3RD FLOOR, ERIE, PA 16507-1537
(814) 452-8300
(814) 452-8308
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006184L
PA
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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