JUDITH Z CLARK

Dr JUDITH Z CLARK is a female medical professional, specializing in Psychologist, Clinical. She graduated in 1992.

Contact

333 3RD ST
SUITE 4
LAGUNA BEACH
CA
926512376

Tel: 7609248503

JUDITH Z CLARK Information

Npi 1356440275
Pac Id 5991711962
Professional Enrollment Id I20080208000226
Last Name CLARK
First Name JUDITH
Middle Name Z
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1992
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 333 3RD ST
Line 2 Street Address SUITE 4
Marker Of Address Line 2 Suppression
City LAGUNA BEACH
State CA
Zip Code 926512376
Phone Number 7609248503
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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