Jennifer K Clark, PH.D.
NPI #1992088611 in South Riding, Virginia
Provider Information
- NPI Number
- 1992088611
- Entity Type
- Individual
- Name
- Jennifer K Clark, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Sep 20, 2011
- Last Updated
- Dec 12, 2011
Practice Location
- Address
- 43130 AMBERWOOD PLZ
- Address 2
- SUITE 140
- City
- South Riding
- State
- Virginia
- ZIP Code
- 20152-4105
- Phone
- (703) 542-7770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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