Individual
DR. RICHARD CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
376 W MAIN ST, SUITE D, LEWISVILLE, TX 75057-3866
(972) 436-1411
Mailing address
376 W MAIN ST, SUITE D, LEWISVILLE, TX 75057-3866
(972) 436-1411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31729
TX
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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