Individual
DR. ALAN E. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2730 WILSHIRE BLVD, SANTA MONICA, CA 90403-4743
(310) 339-8586
(310) 459-5926
Mailing address
16951 W SUNSET BLVD, PACIFIC PALISADES, CA 90272-3208
(310) 339-8586
(310) 459-5926
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1436
CO
103TC0700X
Clinical Psychologist
Primary
PSY12890
CA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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