Anita Lynn Clark, PHD - Psychologist in Lompoc, CA

Anita Lynn Clark, PHD is a Psychologist based in Lompoc, California. Anita Lynn Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is 3839 Constellation Rd Ste C, Lompoc, California. She can be reached at her office (for appointments etc.) via phone at (805) 268-5219.

NPI number for Anita Lynn Clark is 1750914610 and her current mailing address is 565 Miles Ave, Santa Maria, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750914610.

Contact Information

Anita Lynn Clark, PHD
3839 Constellation Rd Ste C,
Lompoc, CA 93436-0434
(805) 268-5219
(805) 733-0216

Map and Direction




Healthcare Provider's Profile

Full NameAnita Lynn Clark
GenderFemale
SpecialityPsychologist
Location3839 Constellation Rd Ste C, Lompoc, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750914610
  • Provider Enumeration Date: 02/19/2020
  • Last Update Date: 11/23/2020

Medical Identifiers

Medical identifiers for Anita Lynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750914610NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))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. Anita Lynn 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 AddressPractice Location Address
Anita Lynn Clark, PHD
565 Miles Ave,
Santa Maria, CA 93455-2706

Ph: (805) 268-5219
Anita Lynn Clark, PHD
3839 Constellation Rd Ste C,
Lompoc, CA 93436-0434

Ph: (805) 268-5219

Reviews and Comments


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