Individual
ELISE CLERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 PEPPERIDGE LN, CHARLOTTESVILLE, VA 22911-7502
(434) 207-2242
Mailing address
1155 SEMINOLE TRL UNIT 6175, CHARLOTTESVILLE, VA 22906-1006
(434) 207-2242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007724
VA
103TC0700X
Clinical Psychologist
6982
OH
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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