Stephen Clark, Ph.D.
Psychologist in Little Rock, AR. Individual provider (NPI-1).
NPI number1003095415
StatusActive
Last updated in NPPESAug 25, 2022
Details
- NPI
- 1003095415
- Entity type
- Individual (NPI-1)
- Name
- Stephen Clark
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2007
- Certification date
- Aug 25, 2022
- Last updated
- Aug 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 99-07P | AR | Yes |
Practice location
10025 W. Markham StreetSte 210
Little Rock, AR 72205-2178
Phone 501-663-4673 · Fax 501-801-1816
Mailing address
10025 W. Markham StreetSte 210
Little Rock, AR 72205-2178
Phone 501-663-4673 · Fax 501-801-1816
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