Debra E. Clark, PH.D.

Psychologist · Ithaca, NY

Individual Active NPI

NPI number 1437477080

Practice location

110 N Cayuga St
Ithaca, NY 14850-4326
Phone
(607) 273-1038

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NPI record

NPI
1437477080
Entity type
Individual (Type 1)
Enumeration date
May 6, 2010
Last updated
May 6, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 011479 NY

About Dr. Clark

Debra E. Clark, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 110 N Cayuga St, Ithaca, NY 14850-4326. The NPI number 1437477080 was assigned on May 6, 2010 and the record was last updated on May 6, 2010.

Dr. Clark lists a license in the registry: #011479 (NY) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Debra E. Clark, PH.D.?

The NPI number is 1437477080.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (607) 273-1038.

Where is Dr. Clark located?

110 N Cayuga St, Ithaca, NY 14850-4326.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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