Organization
ROE F CLARKE PSY D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROE F CLARKE PSY D P A (PSYCHOLOGIST)
(954) 588-7107
Entity
Organization
Contact information
Practice address
950 S PINE ISLAND RD, SUITE 1050, PLANTATION, FL 33324-3918
(954) 588-7107
Mailing address
950 S PINE ISLAND RD, SUITE 1050, PLANTATION, FL 33324-3918
(954) 588-7107
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
PY4970
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY4970
FL
103TC0700X
Clinical Psychologist
Primary
PY4970
FL
103TF0000X
Family Psychologist
PY4970
FL
103TH0004X
Health Psychologist
PY4970
FL
Other
Enumeration date
08/02/2008
Last updated
05/16/2013
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