Individual
JUDITH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
49 PLEASANT ST, WEYMOUTH, MA 02190-2435
(781) 335-6000
Mailing address
PO BOX 1347, FRAMINGHAM, MA 01701-1347
(781) 335-6000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7668
MA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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