Tara Lynn Clark M.A.

NPI 1063707115 - Psychologist - 103T00000X

NPI Details
NPI 1063707115
Gender Female
Enumeration Date 06/16/2011
Last Updated 06/16/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
4641 FULTON DR NW
CANTON OH, 44718-2384, US
Phone (330) 433-6075
Fax
Business Location
4641 FULTON DR NW
CANTON OH, 44718-2384, US
Phone (330) 433-6075
Fax
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Ms. Tara Lynn Clark M.A. NPI is 1063707115, taxonomy code is 103T00000X Tara Lynn Clark M.A. physically located at 4641 Fulton Dr Nw, Canton OH, 44718-2384. NPI Number Tara Lynn Clark M.A. has the Individual type.

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1063707115 NPI number is provided on an as is basis without warranty of any kind. 1063707115 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Lynn Clark M.A. are for informational purposes only.