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

Individual provider Clinical Psychologist · NPI 1003979600

Jeffrey Paul Clark, MA is a Clinical Psychologist in Rochester, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1932 Viking Dr NW
Rochester, MN 55901-2460
Phone: (180) 042-2016
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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 LP3310 (MN)

Record details

NPI number1003979600
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedDecember 18, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1926 26th Ave Nw, Rochester, MN 55901-8064

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