Provider Demographics
NPI:1588801195
Name:CLARKE, ANNEMARIE FRANCES (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNEMARIE
Middle Name:FRANCES
Last Name:CLARKE
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:10521 DRUMMOND ROAD
Mailing Address - Street 2:SPIN BEHAVIORAL & DEVELOPMENTAL SERVICES DEPARTMENT
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154
Mailing Address - Country:US
Mailing Address - Phone:215-612-7575
Mailing Address - Fax:215-632-6426
Practice Address - Street 1:10521 DRUMMOND RD
Practice Address - Street 2:SPIN BEHAVIORAL & DEVELOPMENTAL SERVICES DEPARTMENT
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19154-3807
Practice Address - Country:US
Practice Address - Phone:215-612-7575
Practice Address - Fax:215-632-6426
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPS016576103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist