Individual
KATHERINE HENDERSON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
1655 ELMWOOD AVE, ROCHESTER, NY 14620-3429
(585) 271-2290
Mailing address
1655 ELMWOOD AVE, ROCHESTER, NY 14620-3429
(585) 271-2295
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019765
NY
Other
Enumeration date
07/23/2007
Last updated
09/20/2019
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