Individual provider · Type 1 NPI

Stacy N. Clark, PSYD

Student in an Organized Health Care Education/Training Program · Winfield, IL

NPI number 1821669409 Active

Practice location

28W671 Garys Mill Rd
Winfield, IL 60190-1564

Call (630) 293-9860 Map

Fax (630) 293-9861

Other practice locations

  • 3933 75th St Ste 102, Aurora, IL 60504-8015 · (630) 293-9860

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821669409

Stacy N. Clark, PSYD's National Provider Identifier is 1821669409, issued on Jul 6, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winfield, IL. The record was last updated on Feb 10, 2022.