Individual
DR. BETTE ELLEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
127 W 79TH ST, SUITE 3, NEW YORK, NY 10024-6416
(212) 362-6759
(914) 423-3143
Mailing address
127 W 79TH ST, SUITE 3, NEW YORK, NY 10024-6416
(212) 362-6759
(914) 423-3143
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011741-1
NY
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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