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DR. SHAWN L CLARK PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1184776007

Individual Registrant:
DR. SHAWN L CLARK PH.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2400 HOSPITAL RD 123 TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550  Fax: 334-725-3262

Contact information for business:
2400 HOSPITAL RD 123 TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550  Fax: 334-725-3262

Registration Information:
NPI: 1184776007
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
GA002809

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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