Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHNETTE ELISSE CLARK, PH.D.
ActiveDR. JOHNETTE ELISSE CLARK, PH.D. is a Child, Clinical Psychologist healthcare provider located in ATCHISON, Kansas. NPI 1801963137 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · ATCHISON, KS
Registration Details
- NPI Number
- 1801963137
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2006 (19.677905516255 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LP 1021 (KS)
Practice Information
- Address
-
1301 N 2ND STATCHISON, KS, 660021202Browse KS providers · Browse ZIP 66002
- Phone
- 9133671593
- Fax
- 9133671627
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
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.