IndividualActive
Charles Clark, PHD
NPI 1417399858 · Psychologist · Birmingham, AL
Charles Clark, PHD is a Psychologist provider in Birmingham, AL (NPI 1417399858).
Provider details
- NPI number
- 1417399858
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 1731 (AL)
Practice location
1713 6th Ave S
Birmingham, AL 35294-0018
Phone: (205) 801-8000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 55310
Birmingham, AL 35255-5310
Registry dates
- Enumerated
- 2013-07-26
- Last updated
- 2013-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.