Individual
GINGER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5762 BOLSA AVE, SUITE 107, HUNTINGTON BEACH, CA 92649-1172
(714) 898-0362
(714) 893-3267
Mailing address
5762 BOLSA AVE, SUITE 107, HUNTINGTON BEACH, CA 92649-1172
(714) 898-0362
(714) 893-3267
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19222
CA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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