Individual
DR. LOLALYN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
183 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-1084
(973) 972-6976
Mailing address
183 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-1084
(973) 972-6976
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
019400-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
35SI00539400
NJ
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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