Individual provider · Type 1 NPI

Katherine Travis Clark, PhD

Psychologist · Clinton, MS

NPI number 1548458680 Active

Practice location

1016 Industrial Park Dr
Clinton, MS 39056-3210

Mailing address

PO Box 2332
Clinton, MS 39060-2332

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X33-522 (MS)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1548458680

Katherine Travis Clark, PhD's National Provider Identifier is 1548458680, issued on Oct 12, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Clinton, MS. The record was last updated on Oct 12, 2007.