Individual
DR. CORY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
213 ROBINSON ST, WAKEFIELD, RI 02879-3656
(401) 680-9157
Mailing address
213 ROBINSON ST, WAKEFIELD, RI 02879-3656
(401) 680-9157
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS01098
RI
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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