Organization
CLARKE PSYCHOLOGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM LAWRENCE CLARKE (PRESIDENT)
(814) 297-0735
Entity
Organization
Contact information
Practice address
1200 EASTWOOD DR STE 2, CLARION, PA 16214-8824
(814) 297-0735
Mailing address
1200 EASTWOOD DR STE 2, CLARION, PA 16214-8824
(814) 297-0735
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PS018506
PA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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