Riley Clarke
Psychologist in Woodland Hills, CA. Individual provider (NPI-1).
NPI number1366092223
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1366092223
- Entity type
- Individual (NPI-1)
- Name
- Riley Clarke
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2019
- Certification date
- Oct 10, 2023
- Last updated
- Oct 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 34441 | CA | Yes |
Practice location
6300 Variel Ave Apt 418Woodland Hills, CA 91367-7773
Phone 818-634-2800
Mailing address
8549 Wilshire Blvd # 2427Beverly Hills, CA 90211-3104
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