| Clark Psychological & Consultation Pc | |
|
501 Mantooth Ave Lufkin TX 75904-3014 | |
| (936) 639-4993 | |
| (936) 639-6838 |
| Full Name | Clark Psychological & Consultation Pc |
|---|---|
| Speciality | Psychologist |
| Location | 501 Mantooth Ave, Lufkin, Texas |
| Authorized Official Name and Position | Alan Clark (BUSINESS MANAGER) |
| Authorized Official Contact | 9366394993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Psychological & Consultation Pc 501 Mantooth Ave Lufkin TX 75904-3014 Ph: (936) 639-4993 | Clark Psychological & Consultation Pc 501 Mantooth Ave Lufkin TX 75904-3014 Ph: (936) 639-4993 |
| NPI Number | 1841284155 |
|---|---|
| Provider Enumeration Date | 09/01/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841284155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 22932 (Texas) | Primary |
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