Individual
DR. KATHRYN LEIGH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
100 8TH AVE, BROOKLYN, NY 11215-1554
(718) 623-9125
Mailing address
100 8TH AVE, BROOKLYN, NY 11215-1554
(718) 623-9125
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
012553-1
NY
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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