Individual
MONICA KAYE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
9720 PARK PLAZA AVE UNIT 102, LOUISVILLE, KY 40241-2289
(502) 339-2442
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
244490
KY
Other
Enumeration date
08/11/2017
Last updated
12/30/2020
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