DR. Jaime Ann Clark, PH.D.

NPI #1457641045 in Herrin, Illinois

Provider Information

NPI Number
1457641045
Entity Type
Individual
Name
DR. Jaime Ann Clark, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Apr 15, 2011
Last Updated
Apr 15, 2011

Practice Location

Address
413 JESSE LN
City
Herrin
ZIP Code
62948-3786
Phone
(970) 397-3005

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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