Stacy Clark, PH.D

NPI 1053625764 · on the registry since 2010 · sole proprietor

Practice

Address: 25 E Washington St
1719
Chicago, IL 60602
Phone: (773) 263-0003
Organisation at this address: Lg Therapy, Llc
Jens Hussey Llc
Working Sobriety
Mark Gindi Md Sc
Aven Harbor, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 263

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois