| Dominique Clark, | |
|
1150 Graham Rd, Florissant, MO 63031-8077 | |
| (314) 250-8277 | |
| Not Available |
| Full Name | Dominique Clark |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 1150 Graham Rd, Florissant, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841934544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Clark, 5570 Vernon Ave, Saint Louis, MO 63112-2756 Ph: (314) 546-9028 | Dominique Clark, 1150 Graham Rd, Florissant, MO 63031-8077 Ph: (314) 250-8277 |
Carrie Lebrell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14275 New Halls Ferry Rd, Florissant, MO 63033 Phone: 314-831-4551 Fax: 314-831-4607 | |
Dr. Rimiko Thomas, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19 Ranchview Dr, Florissant, MO 63033 Phone: 573-424-7295 | |
Mrs. Vera Goodloe Rice, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 895 Graham Rd, Florissant, MO 63031 Phone: 314-837-6336 Fax: 314-839-4044 | |
Paul Fredrick Detrick, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Saint Francois St, Florissant, MO 63031 Phone: 314-837-7828 Fax: 314-837-2572 | |
Tionna L Murphy, M.ED, CIT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3633 Marietta Dr Ste C, Florissant, MO 63033 Phone: 314-817-8375 | |
Dr. David L Overstreet, PH D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1281 Graham Rd, Suite 305, Florissant, MO 63031 Phone: 314-831-7774 Fax: 314-831-2775 | |
Ms. Kimberly Nicole Yates, M.ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4862 Bluesage Trl, Florissant, MO 63033 Phone: 314-653-0466 |