National Provider Identifier
Michelle Clark, MA
Michelle Clark, MA is listed in the NPPES registry with a primary specialty of Forensic Psychologist in West Seneca, NY and a listed phone number of (716) 697-1127.
Profile Overview
- NPI
- 1487161121
- Provider Type
- Individual
- Primary Specialty
- Forensic Psychologist
- Enumeration Date
- January 03, 2018
- Last Updated
- January 03, 2018
Practice Location
- 1010 East And West RD
- West Seneca, NY 14224-3602
Phone: (716) 697-1127
Specialties
- Forensic Psychologist (103TF0200X)
Full Record
- NPI
- 1487161121
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Michelle
- Credential
- MA
- Mailing Street Address
- 1010 East And West RD
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-3602
- Mailing Country
- US
- Practice Street Address
- 1010 East And West RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3602
- Practice Country
- US
- Practice Phone
- (716) 697-1127
- Enumeration Date
- January 03, 2018
- Last Updated
- January 03, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Forensic Psychologist (103TF0200X)