DR. Tana M Clark, PH.D

NPI #1992908891 in Corte Madera, California

Provider Information

NPI Number: 1992908891
Entity Type: Individual
Name: DR. Tana M Clark, PH.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D
Enumeration Date: Jun 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 100 TAMAL PLZ
Address 2: SUITE 160
City: Corte Madera
State: California
ZIP Code: 94925-1125
Phone: (415) 924-6935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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