Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELLEN M CLARK, PH.D

Active Sole Proprietor

DR. ELLEN M CLARK, PH.D is a Psychologist healthcare provider located in UNION CITY, New Jersey. NPI 1497833321 is currently active in the NPPES registry. Verify at CMS.

Psychologist · UNION CITY, NJ

Registration Details

NPI Number: 1497833321
Provider Type: Individual
Gender: Female
NPI Issued: Nov 1, 2006 (19.817796241049 yrs)
Last Updated: Jul 30, 2009
Licenses: 35SI00132200 (NJ)

009278 (NY)
Sole Proprietor: Yes

Practice Information

Address: 2201 BERGENLINE AVE

2ND FLOOR THERAPEUTIC NURSERY

UNION CITY, NJ, 070873582
Browse NJ providers · Browse ZIP 07087
Phone: 2015583735
Fax: 2013925048
Primary Specialty: Psychologist
103T00000X
Additional Specialty: Psychologist

Other Psychologist Providers in UNION CITY, NJ

Name	Credential	NPI
DR. DIANA L PUNALES MOREJON	PHD	1467683532
MARIA NICOLE MARCHESE-MAZZEO	PSY.D.	1205148814
MIRANDA MEI NADEAU	PHD	1710588595
THOMAS JOHN GAMBINO JR.	—	1669139333

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.