Search › Oklahoma › 175T00000X
Susan Clark, PRSS
NPI 1790178556 · on the registry since 2015
Practice
- Address
- 3100 Medical Pkwy
Claremore, OK 74017 - Phone
- (918) 342-0070
- Fax
- (918) 342-0087
- Organisation at this address
- Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 262
Additional practice sites
- 3277 E 2nd St, Tulsa, OK
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-27
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 Oklahoma