Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON CLARK, PHD
Active Sole ProprietorDR. SHANNON CLARK, PHD is a Psychologist healthcare provider located in SAINT LOUIS, Missouri. NPI 1649852930 is currently active in the NPPES registry. Verify at CMS.
Psychologist · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1649852930
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2021 (5.3347835530777 yrs)
- Last Updated
- Aug 29, 2024
- Licenses
-
12016019-2501 (UT)2021045663 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7750 CLAYTON RD STE 312SAINT LOUIS, MO, 631171341Browse MO providers · Browse ZIP 63117
- Phone
- 3148663957
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| JOSEPH DAUS | PH.D. | 1487653259 |
| DR. MEENA DHAWAN | PH.D. | 1811996689 |
| MONICA GRADY | M.A. | 1023017753 |
| BONNIE SCHWENDER | MS, MA | 1912906652 |
| DR. CHERIE A BAETZ-DAVIS | PH.D. | 1366437196 |
| DR. THOMAS M KRAPU | PHD | 1417946385 |
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.