Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELIA ANN CLARK, PH.D.
Active Sole ProprietorSHELIA ANN CLARK, PH.D. is a Clinical Psychologist healthcare provider located in PINE MOUNTAIN CLUB, California. NPI 1982716254 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · PINE MOUNTAIN CLUB, CA
Registration Details
- NPI Number
- 1982716254
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2006 (19.967479907701 yrs)
- Last Updated
- Mar 2, 2022
- Licenses
-
PSY13425 (CA)MFC23878 (CA)PSY13425 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2805 RAINIER WAYPINE MOUNTAIN CLUB, CA, 932226045Browse CA providers · Browse ZIP 93222
- Phone
- 6616443943
- Fax
- 6612421583
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Clinical Psychologist
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.