Individual
DR. ELAINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
501 CHIPITA WAY, UNIV OF UTAH NEUROPSYCHIATRIC INSTITUTE, SALT LAKE CITY, UT 84108
(801) 583-2500
Mailing address
501 CHIPITA WAY, UNIV OF UTAH NEUROPSYCHIATRIC INSTITUTE, SALT LAKE CITY, UT 84108
(801) 583-2500
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0047425017
UT
Other
Enumeration date
03/05/2007
Last updated
11/12/2021
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