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Contact Information

DIANA L CLARKE, PhD
4627 RIDGE RD
WADSWORTH, OH44281-9758
 Phone: 330-239-1646
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DIANA L CLARKE · (Female)

NPI Number 1588695845
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 4304
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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