Organization
WHITTINGTON-CLARK ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA E WHITTINGTON-CLARK PH D (OWNER)
(419) 578-2525
Entity
Organization
Contact information
Practice address
2525 W BANCROFT ST, TOLEDO, OH 43607-1311
(419) 578-2525
(419) 536-9220
Mailing address
2525 W BANCROFT ST, TOLEDO, OH 43607-1311
(419) 578-2525
(419) 536-9220
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4131
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0607794
—
OH
01
—
WHCP05913
MEDICARE ID
OH
Enumeration date
10/14/2011
Last updated
05/16/2012
Update your record
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