Individual
DR. ROBERT ROY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
176 ROUTE 81, KILLINGWORTH, CT 06419-1422
(860) 663-2668
(860) 663-2488
Mailing address
232 ROUTE 80, KILLINGWORTH, CT 06419-1406
(860) 663-2138
(860) 663-2488
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2170
CT
103T00000X
Psychologist
4648
NY
Other
Enumeration date
07/04/2006
Last updated
07/09/2007
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