Organization
CLARK NP IN PSYCHIATRY SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALITA R CLARK PMHNP (CEO)
(347) 460-9267
Entity
Organization
Contact information
Practice address
30 WALL ST FL 8, NEW YORK, NY 10005-2205
(347) 460-9267
Mailing address
820 MICHELLE MNR, MONTEVALLO, AL 35115-1111
(205) 936-0429
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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