| Dr Derrick J Clark, PHD | |
|
1663 Dominican Way, Ste 214, Santa Cruz, CA 95065-1527 | |
| (831) 475-3231 | |
| (831) 462-4936 |
| Full Name | Dr Derrick J Clark |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 1663 Dominican Way, Santa Cruz, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568566917 | NPI | - | NPPES |
| PSY134241 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY13424 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derrick J Clark, PHD 1663 Dominican Way, Ste 214, Santa Cruz, CA 95065-1527 Ph: (831) 475-3231 | Dr Derrick J Clark, PHD 1663 Dominican Way, Ste 214, Santa Cruz, CA 95065-1527 Ph: (831) 475-3231 |
Dr. Christine Marie Fahrenbach, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 725 Front St, Ste 200, Santa Cruz, CA 95060 Phone: 831-457-6601 Fax: 831-459-7504 | |
Dr. Lisa Gutierrez Wang, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Emeline Avenue, Building K, Santa Cruz, CA 95060 Phone: 831-454-4948 Fax: 831-454-4916 | |
Dr. Jerry Solomon, JERRY SOLOMON Psychologist Medicare: Not Enrolled in Medicare Practice Location: 407 Avalon St, Santa Cruz, CA 95060 Phone: 831-425-8785 Fax: 831-425-2308 | |
Lily M Rich, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 648 Western Dr, Santa Cruz, CA 95060 Phone: 831-325-8838 | |
Thomas Butz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Montclair Dr, Santa Cruz, CA 95060 Phone: 831-566-9588 | |
Dr. Craig Beeson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 412 Cedar St Ste B, Santa Cruz, CA 95060 Phone: 831-218-5040 | |
Dr. Kirsten L Carraway, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Washington St, #211, Santa Cruz, CA 95060 Phone: 831-477-6668 |