Search › Pennsylvania › 363LP2300X
Andrea Clark
NPI 1992598379 · on the registry since 2025 · sole proprietor
Practice
- Address
- 721 N Tyson Ave
Glenside, PA 19038 - Phone
- (267) 921-8158
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-27
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 Pennsylvania