Individual
STANLEY D CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2106 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8736
(956) 366-4500
(956) 366-4501
Mailing address
2106 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8736
(956) 366-4500
(956) 366-4501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2119
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169996000
MAGELLAN HEALTH
TN
01
—
3094668
BCBST
TN
01
—
7838192
AETNA
TN
Enumeration date
11/29/2006
Last updated
03/21/2016
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