THOMAS R CLARK

ALPHA PSYCHOLOGICAL SERVICES PC

Dr THOMAS R CLARK is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1972.

Contact

ALPHA PSYCHOLOGICAL SERVICES PC

41820 6 MILE RD
SUITE 104
NORTHVILLE
MI
481682771

Tel: 2483493131

THOMAS R CLARK Information

Npi 1407866981
Pac Id 0749284594
Professional Enrollment Id I20080530000782
Last Name CLARK
First Name THOMAS
Middle Name R
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1972
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ALPHA PSYCHOLOGICAL SERVICES PC
Group Practice Pac Id 5395749147
Number Of Group Practice Members 4
Line 1 Street Address 41820 6 MILE RD
Line 2 Street Address SUITE 104
Marker Of Address Line 2 Suppression
City NORTHVILLE
State MI
Zip Code 481682771
Phone Number 2483493131
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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