Stephen Clark
Psychologist
100 S University Ave
Little Rock
, Arkansas 72205-5213
Stephen Clark
Psychologist
100 S University Ave
Little Rock
, Arkansas 72205-5213
(501) 663-4673
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Stephen Clark
- 10025 W Markham St Ste 210
- Little Rock, AR
- Zip : 72205-2178
- Phone : (501) 663-4673
Second Address
- Stephen Clark
- 100 S University Ave
- Little Rock, AR
- Zip : 72205-5213
- Phone : (501) 663-4673
Reviews
FAQs
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Is Stephen Clark a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 99-07P | AR |
| Y | 103T00000X | Psychologist | 99-07P | AR |
National Provider Identifier
| NPI | 1003095415 |
|---|---|
| Provider Name | Stephen Clark |
| First Address | Little Rock, AR 72205-2178 |
| Second Address | Little Rock, AR 72205-5213 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2007 |
| Last Update Date | 26/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.