Search › New Jersey › 171100000X
Kevin Clark, DAOM, LAC, NCC, EMDR
NPI 1265736508 · on the registry since 2010 · sole proprietor
Practice
- Address
- 543 Old York Rd
Allentown, NJ 08501 - Phone
- (302) 249-0143
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 101YA0400X
171100000X
101YP2500X - Licence states on file
- NJ, DE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-31
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 New Jersey