Dominique Clark
Dominique Clark is an Addiction (Substance Use Disorder) Psychologist in Florissant, Missouri. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1150 Graham RdFlorissant, MO 63031-8077
Phone: (314) 250-8277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Psychologist (primary) | Taxonomy 103TA0400X |
|---|
Record details
| NPI number | 1841934544 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 27, 2022 |
| Last updated in NPPES | April 27, 2022 |
| Certification date | April 27, 2022 |