Dr Jaime Ann Clark, PHD - Psychologist in Herrin, IL

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Dr Jaime Ann Clark, PHD is a Psychologist - Clinical based in Herrin, Illinois. Dr Jaime Ann Clark is licensed to practice in Illinois (license number 071.007614) and her current practice location is 413 Jesse Ln, Herrin, Illinois. She can be reached at her office (for appointments etc.) via phone at (970) 397-3005.

NPI number for Dr Jaime Ann Clark is 1457641045 and her current mailing address is 413 Jesse Ln, Herrin, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457641045.

Contact Information

Dr Jaime Ann Clark, PHD
413 Jesse Ln,
Herrin, IL 62948-3786
(970) 397-3005
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jaime Ann Clark
GenderFemale
SpecialityPsychologist - Clinical
Location413 Jesse Ln, Herrin, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457641045
  • Provider Enumeration Date: 04/15/2011
  • Last Update Date: 04/15/2011

Medical Identifiers

Medical identifiers for Dr Jaime Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457641045NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 071.007614 (Illinois)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. Dr Jaime Ann 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
Dr Jaime Ann Clark, PHD
413 Jesse Ln,
Herrin, IL 62948-3786

Ph: (970) 397-3005		Dr Jaime Ann Clark, PHD
413 Jesse Ln,
Herrin, IL 62948-3786

Ph: (970) 397-3005

Reviews and Comments


Psychologist in Herrin, IL


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