NPI 1003095415 · live from the CMS NPI Registry
Stephen Clark, Ph.D.
Psychologist in Little Rock, AR. National Provider Identifier 1003095415, active.
NPI record
| NPI | 1003095415 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 10025 W. Markham Street, Ste 210, Little Rock, AR 72205 |
| Practice phone | 501-663-4673 |
| Enumerated | November 1, 2007 |
| Last updated | August 25, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 99-07P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.