Individual
JESSE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 MILLWOOD RD, CHAPPAQUA, NY 10514-1421
(914) 804-1434
Mailing address
185 MILLWOOD RD, CHAPPAQUA, NY 10514-1421
(914) 804-1434
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
027262
NY
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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