Individual
DR. KRISTIN DAY CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., BCBA-D
Contact information
Practice address
36 SHERWOOD LN, LAKEVILLE, MA 02347-2239
(321) 917-0490
Mailing address
36 SHERWOOD LN, LAKEVILLE, MA 02347-2239
(321) 917-0490
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-12-12439
—
103T00000X
Psychologist
Primary
20043490B
IN
Other
Enumeration date
10/24/2012
Last updated
08/21/2023
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