Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jon B Clark, PHD

Individual provider Psychologist · NPI 1336118454

Dr. Jon B Clark, PHD is a Psychologist in Rochester, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

71 Walnut Blvd Ste 109
Rochester, MI 48307-2073
Phone: (248) 650-8990
Fax: (248) 650-8990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301005160 (MI)

Record details

NPI number1336118454
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 14, 2006
Last updated in NPPESDecember 7, 2016
Mailing address71 Walnut Blvd, Suite 109, Rochester, MI 48307-2073

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