Provider Demographics
NPI:1851984280
Name:WILLIAM H. CLARK, PH.D.
Entity Type:Organization
Organization Name:WILLIAM H. CLARK, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:201-689-8293
Mailing Address - Street 1:50 N FRANKLIN TPKE STE 110
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1562
Mailing Address - Country:US
Mailing Address - Phone:120-168-9829
Mailing Address - Fax:201-689-8293
Practice Address - Street 1:50 N FRANKLIN TPKE STE 110
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1562
Practice Address - Country:US
Practice Address - Phone:201-689-8293
Practice Address - Fax:201-689-8293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty