Individual
CHRISTOPHER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
701 E CATHEDRAL RD STE 45, PHILADELPHIA, PA 19128-2128
(888) 790-0929
(888) 790-0929
Mailing address
701 E CATHEDRAL RD STE 45, PHILADELPHIA, PA 19128-2128
(888) 790-0929
(888) 790-0929
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP031296
PA
Other
Enumeration date
05/10/2023
Last updated
04/22/2025
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