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

Dr. Kenneth W Clark, PHD

Individual provider Clinical Psychologist · NPI 1942254560

Dr. Kenneth W Clark, PHD is a Clinical Psychologist in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
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

6510 Grand Teton Plz Ste 406
Madison, WI 53719-1029
Phone: (608) 833-9290
Fax: (608) 833-9691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 670-057 (WI)

Record details

NPI number1942254560
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESMarch 20, 2009
Mailing address6510 Grand Teton Plz, Suite 406, Madison, WI 53719-1029

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