NPI 1003979600

Jeffrey Paul Clark, MA

Practitioner Clinical Psychologist Rochester, MN

Practice location

Address: 1932 Viking Dr NW, Rochester, MN 55901-2460
Phone: (180) 042-2016
Mailing address: 1926 26th Ave NW, Rochester, MN 55901-8064

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence LP3310 (MN)

Other Psychologist providers in Minnesota →

Registry record

NPI: 1003979600
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.