Jennifer Clark, PH.D

NPI 1992088611 · on the registry since 2011

Practice

Address: 43130 Amberwood Plz
Suite 140
South Riding, VA 20152
Phone: (703) 542-7770
Organisation at this address: Blue Skyy Llc
South Riding Spine And Therapy
Dominion Center For Behavioral Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-12-12

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 Virginia