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Bruce Clark, PH.D
NPI 1669212395 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3800 Park Nicollet Blvd
St Louis Park, MN 55416 - Phone
- (952) 993-3123
- Fax
- (952) 993-3286
- Organisation at this address
- Group Health Inc
Park Nicollet Clinic
Park Nicollet ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 402
Additional practice sites
- 3366 Oakdale Ave N Ste 315, Robbinsdale, MN
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Also registered as
- Clinical Psychologist
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-09
- Status
- Not present in the most recent federal file
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 Minnesota