Individual
BROOK ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
400 15TH AVE S STE 205, GREAT FALLS, MT 59405-4375
(406) 731-8888
(406) 731-8318
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 731-8888
(406) 731-8318
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5032
MT
Other
Enumeration date
06/06/2021
Last updated
04/05/2024
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