DR. Jon B Clark, PHD

NPI #1336118454 in Rochester, Michigan

Provider Information

NPI Number
1336118454
Entity Type
Individual
Name
DR. Jon B Clark, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Credential
PHD
Enumeration Date
Mar 14, 2006
Last Updated
Dec 7, 2016

Practice Location

Address
71 WALNUT BLVD
Address 2
SUITE 109
ZIP Code
48307-2073
Phone
(248) 650-8990

Specialties & Taxonomy Codes

Specialty
Psychologist

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