Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE CLARK
ActiveDOMINIQUE CLARK is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in FLORISSANT, Missouri. NPI 1841934544 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · FLORISSANT, MO
Registration Details
- NPI Number
- 1841934544
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2022 (4.3333474195537 yrs)
- Last Updated
- Apr 27, 2022
Practice Information
- Address
-
1150 GRAHAM RDFLORISSANT, MO, 630318077Browse MO providers · Browse ZIP 63031
- Phone
- 3142508277
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
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.