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Individual

DR. ELLEN M CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
2201 BERGENLINE AVE, 2ND FLOOR THERAPEUTIC NURSERY, UNION CITY, NJ 07087-3582
(201) 558-3735
(201) 392-5048
Mailing address
5 PETER COOPER RD, APT.14 F, NEW YORK, NY 10010-6622
(212) 228-7363
(212) 473-8211

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
009278
NY
103T00000X
Psychologist
35SI00132200
NJ

Other

Enumeration date
11/01/2006
Last updated
05/03/2026
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