Individual
CASANDRA JEWEL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8682 INWOOD AVE S, COTTAGE GROVE, MN 55016-4716
(651) 341-9660
Mailing address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4184
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP5929
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/16/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us