Individual
DR. CAITLIN MALLORY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
MICHAEL E. DEBAKEY VA MEDICAL CENTER, 2002 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 791-1414
Mailing address
3019 AUSTIN ST, HOUSTON, TX 77004-2818
(770) 789-5088
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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