Individual
DR. TIMOTHY SCOTT CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
600 W CAMPBELL RD, SUITE 2, RICHARDSON, TX 75080-3357
(214) 392-9951
(928) 441-7305
Mailing address
2815 CANYON VALLEY TRL, PLANO, TX 75075-2903
(214) 392-9951
(928) 441-7305
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
24179
TX
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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