Most Relevant Information
Provider Data
| NPI Number: | 1003817081 |
| Provider Name: | CHRISTINA CLARK |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 5317 |
Most Important Dates
| Enumeration Date: | 08/02/2005 |
| Last Updated: | 09/28/2012 |
Provider Practice Location
666 HIGH ST
SUITE 200-D
WORTHINGTON
OH
430854135
Practice Location Phone/Fax
| Phone: | 6144308920 |
| Fax: | 6144308920 |
Provider Mailing Location
666 HIGH ST
SUITE 200-D
WORTHINGTON
OH
430854135
Provider Mailing Phone/Fax
| Phone: | 6144308920 |
| Fax: | 6144308920 |