Individual
ELIZABETH F CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
16 GLEASONDALE RD, STOW, MA 01775-1465
(978) 295-9090
Mailing address
PO BOX 381006, CAMBRIDGE, MA 02238-1006
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
7190
MA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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