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Individual

DR. ANDREA RACHELE CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
3750 W MAIN ST STE AA, NORMAN, OK 73072-4645
(405) 801-2400
Mailing address
3750 W MAIN ST STE AA, NORMAN, OK 73072-4645
(405) 801-2400

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
970
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200036470-A
OK
Enumeration date
02/28/2007
Last updated
02/09/2026
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