Individual
DR. DAVID CHARLES CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
552 LINCOLN AVE STE 205, WINNETKA, IL 60093-2353
(312) 543-9987
(847) 501-3857
Mailing address
1004 ASH ST, WINNETKA, IL 60093-2102
(312) 543-9987
(847) 501-3857
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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