Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DERRICK J CLARK, PHD
ActiveDR. DERRICK J CLARK, PHD is a Psychologist healthcare provider located in SANTA CRUZ, California. NPI 1568566917 is currently active in the NPPES registry. Verify at CMS.
Psychologist · SANTA CRUZ, CA
Registration Details
- NPI Number
- 1568566917
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2006 (19.90952738184 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PSY13424 (CA)
Practice Information
- Address
-
1663 DOMINICAN WAYSTE 214SANTA CRUZ, CA, 950651527Browse CA providers · Browse ZIP 95065
- Phone
- 8314753231
- Fax
- 8314624936
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in SANTA CRUZ, CA
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM C FALZETT JR. | PH.D. | 1114925526 |
| DR. DAVID A. 'TONY' HOFFMAN | PH.D. | 1720097009 |
| DR. GREGORY LAWRENCE KATZ | PH.D. | 1386759157 |
| MS. CARMEN LOUISE BERTEAUX | MA MFT | 1144330994 |
| DR. SANJI MARISSA COUTTS | PHD | 1245340652 |
| DR. GREG MARTIN BRUNO | PH.D AND LCSW | 1104936434 |
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.