Organization
CLARK INSTITUTE PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW CLARK (OWNER)
(616) 204-5589
Entity
Organization
Contact information
Practice address
7150 KALAMAZOO AVE SE, SUITE C, CALEDONIA, MI 49316
(616) 219-0159
(616) 219-0124
Mailing address
7150 KALAMAZOO AVE SE, SUITE C, CALEDONIA, MI 49316
(616) 219-0159
(616) 219-0124
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/17/2019
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