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DR. SHAWN L CLARK PH.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1184776007
Individual Registrant:DR. SHAWN L CLARK PH.D.
Gender: F
Not Sole Proprietor
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
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
Tel: 334-727-0550 Fax: 334-725-3262
Registration Information:
NPI: 1184776007
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | GA | 002809 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
