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Contact Information

TARA L CLARK, PSYD
6751 N CHESTNUT ST
RAVENNA, OH44266-3903
 Phone: 330-296-3641
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TARA L CLARK · (Female)

NPI # 1063707115
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 06/16/2011
Last updated 06/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 07627
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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