Individual
TAYLOR CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
801 S KETTLE ST, ALTOONA, PA 16602-5521
(814) 201-2751
Mailing address
728 LOOP RD, HOLLIDAYSBURG, PA 16648-3510
(814) 934-2781
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS020223
PA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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