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Organization

CLARK&ASSOCIATES PSYCHOLOGICAL SERVICES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AURELIA FOSTER (ADMINISTRATIVE ASSISTANT)
(248) 559-2673
Entity
Organization

Contact information

Practice address
16250 NORTHLAND DR, SUITE 245, 16250 NORTHLAND DRIVE, SUITE 245, SOUTHFIELD, MI 48075-5227
(248) 559-2673
(248) 559-7944
Mailing address
16250 NORTHLAND DR, SUITE 245, 16250 NORTHLAND DRIVE, SUITE 245, SOUTHFIELD, MI 48075-5227
(248) 559-2673
(248) 559-7944

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
6301001882
MI
261QM0850X
Adult Mental Health Clinic/Center
Primary
MI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
MI

Other

Enumeration date
06/04/2006
Last updated
06/12/2008
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