Individual
ELIZABETH MARTIN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
626 1ST AVE APT W11K, NEW YORK, NY 10016-3866
(510) 304-7711
Mailing address
626 1ST AVE APT W11K, NEW YORK, NY 10016-3866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025813
NY
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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