DR. Carman Suzanne Clark, PSYCHOLOGIST, LPC
NPI #1073702924 in Loganville, Georgia
Provider Information
- NPI Number
- 1073702924
- Entity Type
- Individual
- Name
- DR. Carman Suzanne Clark, PSYCHOLOGIST, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- PSYCHOLOGIST, LPC
- Enumeration Date
- Oct 17, 2007
- Last Updated
- Aug 11, 2021
Practice Location
- Address
- 149 LEE BYRD RD STE 11
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-2310
- Phone
- (678) 215-7236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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