National Provider Identifier
Debra E Clark, PH.D.
Debra E Clark, PH.D. is listed in the NPPES registry with a primary specialty of Psychologist in Ithaca, NY and a listed phone number of (607) 273-1038.
Profile Overview
- NPI
- 1437477080
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- May 06, 2010
- Last Updated
- May 06, 2010
Practice Location
- 110 N Cayuga St
- Ithaca, NY 14850-4326
Phone: (607) 273-1038
Specialties
- Psychologist (103T00000X)
Full Record
- NPI
- 1437477080
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Debra
- Middle Name
- E
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 110 N Cayuga St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4326
- Mailing Country
- US
- Mailing Phone
- (607) 273-1038
- Practice Street Address
- 110 N Cayuga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4326
- Practice Country
- US
- Practice Phone
- (607) 273-1038
- Enumeration Date
- May 06, 2010
- Last Updated
- May 06, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X)