Dr Elisabeth Oliver Clark, PHD in Los Angeles, CA - Medicare Clinical Psychologist Provider

Dr Elisabeth Oliver Clark, PHD is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. She graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 544 S San Vicente Blvd, Suite 203, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 850-0620.

Dr Elisabeth Oliver Clark is licensed to practice in California (license number PSY12291) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043368145.

Contact Information

	Dr Elisabeth Oliver Clark, PHD
	544 S San Vicente Blvd, Suite 203, Los Angeles, CA 90048-4622
	(323) 850-0620
	Not Available

Healthcare Provider's Profile

Full Name	Dr Elisabeth Oliver Clark
Gender	Female
Speciality	Clinical Psychologist
Experience	43 Years
Location	544 S San Vicente Blvd, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Elisabeth Oliver Clark graduated from medical school in 1981

NPI Data:

NPI Number: 1043368145
Provider Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7113968264
Enrollment ID: I20050518001081

Medical Identifiers

Medical identifiers for Dr Elisabeth Oliver Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043368145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY12291 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Elisabeth Oliver Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Elisabeth Oliver Clark, PHD 1558 N Ogden Dr, Los Angeles, CA 90046-2616 Ph: (323) 850-0620	Dr Elisabeth Oliver Clark, PHD 544 S San Vicente Blvd, Suite 203, Los Angeles, CA 90048-4622 Ph: (323) 850-0620

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Dr Elisabeth Oliver Clark, PHD - Medicare Psychologist in Los Angeles, CA