Individual
JULIE B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1790 N STATE STREET, OREM, UT 84057-2025
(801) 224-8255
(801) 224-8301
Mailing address
1790 N STATE STREET, OREM, UT 84057-2025
(801) 224-8255
(801) 224-8301
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
113196-2501
UT
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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