JEFFREY P CLARK

BIG HORN PSYCHOLOGICAL SERVICES LC

Dr JEFFREY P CLARK is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2003.

Contact

BIG HORN PSYCHOLOGICAL SERVICES LC

909 LONG DR
SUITE A
SHERIDAN
WY
828013282

Tel: 3076751805

JEFFREY P CLARK Information

Npi 1063403822
Pac Id 0941303499
Professional Enrollment Id I20070321000393
Last Name CLARK
First Name JEFFREY
Middle Name P
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2003
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BIG HORN PSYCHOLOGICAL SERVICES LC
Group Practice Pac Id 3375788839
Number Of Group Practice Members 3
Line 1 Street Address 909 LONG DR
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City SHERIDAN
State WY
Zip Code 828013282
Phone Number 3076751805
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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