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Individual

DR. BARBARA ANN CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
366 SAN MIGUEL DR, NEWPORT BEACH, CA 92660-7817
(949) 640-7476
Mailing address
912 GARDENIA WAY, CORONA DEL MAR, CA 92625-1546
(949) 640-7476

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14525
CA

Other

Enumeration date
02/19/2008
Last updated
02/19/2008
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