DERRICK J CLARK

SANTA CRUZ, CA
NPI1568566917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSY13424)
Enumeration Date2006-09-07
Last Update Date2007-07-08
Business Address
Dr. DERRICK J CLARK PhD
1663 DOMINICAN WAY STE 214
SANTA CRUZ, CA 95065-1527
Phone number: 831-475-3231
Mailing Address
Dr. DERRICK J CLARK PhD
1663 DOMINICAN WAY STE 214
SANTA CRUZ, CA 95065-1527
Phone number: 831-475-3231
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