Dr Katherine Travis Clark, PHD | |
1016 Industrial Park Dr, Clinton, MS 39056-3210 | |
(601) 383-2998 | |
Not Available |
Full Name | Dr Katherine Travis Clark |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 1016 Industrial Park Dr, Clinton, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548458680 | NPI | - | NPPES |
04587367 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 33-522 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
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Dr Katherine Travis Clark, PHD Po Box 2332, Clinton, MS 39060-2332 Ph: (601) 383-2998 | Dr Katherine Travis Clark, PHD 1016 Industrial Park Dr, Clinton, MS 39056-3210 Ph: (601) 383-2998 |
Suzanne Jourdan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 107 Hunters Pointe Ct, Clinton, MS 39056 Phone: 601-668-5212 | |
Dr. Anita Craft, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Countrywood Cir, Clinton, MS 39056 Phone: 601-955-1457 |