Christina Clark

NPI 1003817081 - Psychologist - 103TC0700X

NPI Details
NPI 1003817081
Gender Female
Enumeration Date 08/02/2005
Last Updated 09/28/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
666 HIGH ST
SUITE 200-D
WORTHINGTON OH, 43085-4135, US
Phone (614) 430-8920
Fax (614) 430-8920
Business Location
666 HIGH ST
SUITE 200-D
WORTHINGTON OH, 43085-4135, US
Phone (614) 430-8920
Fax (614) 430-8920
Toxanomy
Taxonomy Code 103TC0700X
License State Ohio
License Number 5317
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According to our database, Christina Clark NPI is 1003817081, taxonomy code is 103TC0700X and license number is 5317, license state is located at Ohio. Christina Clark physically located at 666 High St, Worthington OH, 43085-4135. NPI Number Christina Clark has the Individual type.

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1003817081 NPI number is provided on an as is basis without warranty of any kind. 1003817081 is maintained by the National Plan & Provider Enumeration System. The contents of Christina Clark are for informational purposes only.