Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW DAVID AYERS CLARK, PSY.D., FLP
Active Sole ProprietorMATTHEW DAVID AYERS CLARK, PSY.D., FLP is a Psychologist healthcare provider located in CALEDONIA, Michigan. NPI 1811001126 is currently active in the NPPES registry. Verify at CMS.
Psychologist · CALEDONIA, MI
Registration Details
- NPI Number
- 1811001126
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2006 (19.960472848931 yrs)
- Last Updated
- Jan 16, 2019
- Licenses
-
6301013305 (MI)6301013305 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7150 KALAMAZOO AVE SESTE CCALEDONIA, MI, 493169126Browse MI providers · Browse ZIP 49316
- Phone
- 6166905437
- Fax
- 6168256225
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in CALEDONIA, MI
| Name | Credential | NPI |
|---|---|---|
| GRACEANN MARY ROBERTSON | PH.D. | 1063428134 |
| MRS. SUSAN LEE ALDERINK-HULST | MA, LLP | 1083915276 |
| MRS. TAKARA TAYLOR | LLP | 1356883003 |
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.