Search › Georgia › 1041C0700X
Rebecca Clark, PH.D, LCSW
NPI 1699026773 · on the registry since 2012
Practice
- Address
- 6600 Van Aalst Blvd Bldg 9250
Fort Moore, GA 31905 - Phone
- (270) 535-2545
- Clinicians at this address
- 156
Additional practice sites
- 9038 Sonoma Pointe Dr, Columbus, GA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- AL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-29
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