National Provider Identifier Database

JUDITH Z CLARK, PHD – NPI #1356440275
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

JUDITH Z CLARK, PHD
126 OLD MAMMOTH RD
SUITE 214
MAMMOTH LAKES, CA93546
Phone: 760-924-8503
Fax: 760-924-0541
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for JUDITH Z CLARK

NPI Number 1356440275
Credentials PHD
Entity Individual
Enumeration date 09/21/2006
Last updated 09/20/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • CA License #: PSY13963
  • CA Medicaid: PSY139630
  • Other: 11413861 AETNA
  • CA Other: CP13963 MEDICARE PTAN
Hospital affiliation n/a

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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