| Clark Institute | |
|
3303 Applewood Drive Freehold NJ 07728-4922 | |
| (732) 431-1514 | |
| (609) 395-0120 |
| Full Name | Clark Institute |
|---|---|
| Speciality | Psychologist |
| Location | 3303 Applewood Drive, Freehold, New Jersey |
| Authorized Official Name and Position | Barbara J Clark (PRESIDENT) |
| Authorized Official Contact | 7324311514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Institute 3303 Applewood Drive Freehold NJ 07728-4922 Ph: (732) 431-1514 | Clark Institute 3303 Applewood Drive Freehold NJ 07728-4922 Ph: (732) 431-1514 |
| NPI Number | 1174665681 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 10/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174665681 | NPI | - | NPPES |
| 106486 | Other | APSA | |
| 1706 | Other | APH | |
| 83704 | Other | NAAP | |
| 999012391 | Other | ACH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 182788 (New York) | Primary |
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