DR. DERRICK CLARK, PHD

Psychologist

Active Individual
NPI: 1568566917

Practice Address

1663 DOMINICAN WAY
STE 214
Santa Cruz, CA 95065

Phone: (831) 475-3231

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes PSY13424 (CA)

Frequently Asked Questions

NPI 1568566917 is the National Provider Identifier for DR. DERRICK CLARK, PHD, a Psychologist provider located in Santa Cruz, CA. This NPI was enumerated on September 7, 2006.
DR. DERRICK CLARK, PHD practices at 1663 DOMINICAN WAY, STE 214, Santa Cruz, CA 95065.

Quick Facts

NPI
1568566917
Type
Individual
Enumerated
Sep 7, 2006
Last Updated
Jul 8, 2007

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