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

Terrell A Clark, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1043283724

Terrell A Clark, PHD is a Clinical Child & Adolescent Psychologist in Waltham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
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.

See every abbreviation used in this directory →

Practice location Address checks out

9 Hope Ave
Waltham, MA 02453-2741
Phone: (781) 216-2200
Fax: (781) 647-8914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 2856 (MA)

Record details

NPI number1043283724
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 11, 2006
Last updated in NPPESJuly 13, 2026
Mailing address34 Meadow Rd, Bolton, MA 01740-1120

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