National Provider Identifier
Katherine Henderson Clark, PSY.D.
Katherine Henderson Clark, PSY.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 271-2290.
Profile Overview
- NPI
- 1922208339
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- July 23, 2007
- Last Updated
- September 20, 2019
Practice Location
- 1655 Elmwood Ave
- Rochester, NY 14620-3429
Phone: (585) 271-2290
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1922208339
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Katherine
- Middle Name
- Henderson
- Credential
- PSY.D.
- Provider Other Last Name
- Henderson
- Provider Other First Name
- Katherine
- Provider Other Middle Name
- Ann
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1655 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3429
- Mailing Country
- US
- Mailing Phone
- (585) 271-2295
- Practice Street Address
- 1655 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3429
- Practice Country
- US
- Practice Phone
- (585) 271-2290
- Enumeration Date
- July 23, 2007
- Last Updated
- September 20, 2019
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Clinical Psychologist (103TC0700X)