NPI 1548736622

Gregory Allen Clark

Practitioner Marriage & Family Therapist Coralville, IA

Practice location

Address: 1150 5th St STE 270, Coralville, IA 52241-2933
Phone: (319) 804-9312

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 093800 (IA)

Other Marriage & Family Therapist providers in Iowa →

Registry record

NPI: 1548736622
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2018
Record last updated: 16 Oct 2018

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.