Paul Jeffrey Clark, PHD

NPI #1457376238 in Crow Agency, Montana

Provider Information

NPI Number
1457376238
Entity Type
Individual
Name
Paul Jeffrey Clark, PHD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PHD
Enumeration Date
Jul 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1010 SOUTH 7650 EAST
Address 2
CROW NORTHERN CHEYENNE INDIAN HOSPITAL
State
Montana
ZIP Code
59022
Phone
(406) 638-3500

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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