Dr Judith Z Clark, PHD in Mammoth Lakes, CA - Psychologist

Dr Judith Z Clark, PHD is a Psychologist - Clinical based in Mammoth Lakes, California. Dr Judith Z Clark is licensed to practice in California (license number PSY13963) and her current practice location is 126 Old Mammoth Rd, Suite 214, Mammoth Lakes, California. She can be reached at her office (for appointments etc.) via phone at (760) 924-8503.

NPI number for Dr Judith Z Clark is 1356440275 and her current mailing address is Po 100 Pmb 470, Mammoth Lakes, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356440275.

Contact Information

	Dr Judith Z Clark, PHD
	126 Old Mammoth Rd, Suite 214, Mammoth Lakes, CA 93546
	(760) 924-8503
	(760) 924-0541

Healthcare Provider's Profile

Full Name	Dr Judith Z Clark
Gender	Female
Speciality	Psychologist - Clinical
Location	126 Old Mammoth Rd, Mammoth Lakes, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1356440275
Provider Enumeration Date: 09/21/2006
Last Update Date: 09/20/2011

Medical Identifiers

Medical identifiers for Dr Judith Z Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356440275	NPI	-	NPPES
11413861	Other		AETNA
PSY139630	Medicaid	CA
CP13963	Other	CA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY13963 (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 Judith Z Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Judith Z Clark, PHD Po 100 Pmb 470, Mammoth Lakes, CA 93546-0100 Ph: (760) 924-8503	Dr Judith Z Clark, PHD 126 Old Mammoth Rd, Suite 214, Mammoth Lakes, CA 93546 Ph: (760) 924-8503

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Psychologist in Mammoth Lakes, CA

Callie Amanda Olpin, MFT ASSOCIATE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1290 Tavern Road, Mammoth Lakes, CA 93546 Phone: 760-924-1740
Ms. Christina Marina Caro, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 272 Sierra Manor Rd # C, Mammoth Lakes, CA 93546 Phone: 408-768-8636
E. Ann Gimpel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 452 Old Mammoth Road, 3rd Floor, Mammoth Lakes, CA 93546 Phone: 760-924-1740 Fax: 760-924-1741
Rachel Canning, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-924-4071
Dr. Jacob Andrew Eide, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-924-4333
Dr. Nancy Thomas Akalin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Road, Mammoth Hospital, Mammoth Lakes, CA 93546 Phone: 760-924-4000

Dr Judith Z Clark, PHD - Psychologist in Mammoth Lakes, CA