SearchGeorgia101YP2500X

Carman Clark, PSYCHOLOGIST, LPC

NPI 1073702924 · on the registry since 2007 · sole proprietor

Practice

Address
149 Lee Byrd Rd Ste 11
Loganville, GA 30052
Phone
(678) 215-7236
Organisation at this address
Healing Heart Moments, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-11

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 Georgia