DR. Theresa L Clark, M.D.

NPI #1104015155 in Dillon, Colorado

Provider Information

NPI Number
1104015155
Entity Type
Individual
Name
DR. Theresa L Clark, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychiatry & Neurology - Psychiatry
Credential
M.D.
Enumeration Date
Oct 16, 2007
Last Updated
May 17, 2025

Practice Location

Address
114 VILLAGE PLACE
Address 2
ST 207
City
Dillon
ZIP Code
80435
Phone
(970) 455-9004

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry
Student in an Organized Health Care Education/Training Program

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