Individual
DR. LITA A. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC, SAP
Contact information
Practice address
550 MONTGOMERY HWY, BIRMINGHAM, AL 35216-1844
(205) 868-9607
(205) 868-9600
Mailing address
550 MONTGOMERY HWY, BIRMINGHAM, AL 35216-1844
(205) 868-9607
(205) 868-9600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1949
AL
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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