Individual
AMY L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
1428 SE 31ST ST, CAPE CORAL, FL 33904-3983
(208) 755-4993
Mailing address
1428 SE 31ST ST, CAPE CORAL, FL 33904-3983
(208) 755-4993
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1531
FL
Other
Enumeration date
06/14/2025
Last updated
12/17/2025
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