Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH W CLARK, PH.D.
ActiveDR. KENNETH W CLARK, PH.D. is a Clinical Psychologist healthcare provider located in MADISON, Wisconsin. NPI 1942254560 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MADISON, WI
Registration Details
- NPI Number
- 1942254560
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2006 (20.271594817787 yrs)
- Last Updated
- Mar 20, 2009
- License
-
670-057 (WI)
Practice Information
- Address
-
6510 GRAND TETON PLZSUITE 406MADISON, WI, 537191029Browse WI providers · Browse ZIP 53719
- Phone
- 6088339290
- Fax
- 6088339691
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in MADISON, WI
| Name | Credential | NPI |
|---|---|---|
| DR. GORDON I HERZ | PHD | 1053314344 |
| DR. RHONDA REINHOLTZ | PHD | 1720089667 |
| DR. JOSEPH J COLLETTI | PHD | 1164423000 |
| DR. DAVID E. LACOCQUE | PSY.D. | 1134100068 |
| ROBERT A MCGRATH | PSYD | 1346226461 |
| BRENDA SUE KEPLER LESKE | PSY.D. | 1154384006 |
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.