Organization
CLARK PSYCHOLOGICAL & CONSULTATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN CLARK M.ED. (BUSINESS MANAGER)
(936) 639-4993
Entity
Organization
Contact information
Practice address
501 MANTOOTH AVE, LUFKIN, TX 75904-3014
(936) 639-4993
(936) 639-6838
Mailing address
501 MANTOOTH AVE, LUFKIN, TX 75904-3014
(936) 639-4993
(936) 639-6838
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22932
TX
Other
Enumeration date
09/01/2005
Last updated
08/22/2020
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