Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE E CLARK, PH.D.
Active Sole ProprietorDR. BRUCE E CLARK, PH.D. is a Psychologist healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1669212395 is currently active in the NPPES registry. Verify at CMS.
Psychologist · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1669212395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2024 (2.1791642441339 yrs)
- Last Updated
- Aug 9, 2024
- Licenses
-
LP7036 (MN)LP7036 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3800 PARK NICOLLET BLVDST LOUIS PARK, MN, 554162527Browse MN providers · Browse ZIP 55416
- Phone
- 9529933123
- Fax
- 9529933286
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL ERLING BERGER | PHD, L.P. | 1831180579 |
| THEODORE PERKINS | — | 1467436774 |
| DR. HELENE KEERY | PH.D. | 1649254558 |
| DR. SUSAN G LEACH | PH.D. | 1386629798 |
| CHARLES R FREEMAN | — | 1356326102 |
| MARY VANDERLOOP | — | 1083690606 |
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.