Individual
DR. ANGELA T CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3440 MARKET ST, SUITE 410, PHILADELPHIA, PA 19104-3325
(215) 590-7532
(215) 590-4251
Mailing address
3440 MARKET ST, SUITE 410, PHILADELPHIA, PA 19104-3325
(215) 590-7555
(215) 590-7387
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015547
PA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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