Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN MARIE CLARK, PH.D
Active Sole ProprietorDR. SUSAN MARIE CLARK, PH.D is a Professional Counselor healthcare provider located in STOCKBRIDGE, Georgia. NPI 1154590073 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · STOCKBRIDGE, GA
Registration Details
- NPI Number
- 1154590073
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 25, 2008 (18.444717115722 yrs)
- Last Updated
- Jan 5, 2009
- Licenses
-
LPC005485 (GA)LPC005485 (GA)LPC005485 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 WILSON RDSTOCKBRIDGE, GA, 302814468Browse GA providers · Browse ZIP 30281
- Phone
- 6784384225
- Fax
- 7705068663
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Pastoral Counselor
Other Professional Counselor Providers in STOCKBRIDGE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. DONALD GARRETT | PH.D. | 1427070739 |
| MR. ROBERT MARCHANT | LPC | 1952316762 |
| MRS. GRATIANA WILSON TAYLOR | LPC | 1568531093 |
| KARA ELIZABETH ROGERS | LICENSED COUNSELOR | 1407915192 |
| MRS. TIFFANY BRYAN STARNES | MED, NCC, LPC | 1730230095 |
| MR. KELVIN LEON THOMPSON | LPC | 1679699953 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.