IndividualActive
Cory Clark, PH.D.
NPI 1588020051 · Psychologist · Wakefield, RI
Provider details
- NPI number
- 1588020051
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PS01098 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
213 Robinson St
Wakefield, RI 02879-3656
Phone: (401) 680-9157
Approximate (ZIP-level) locationGet directions
Mailing address
213 Robinson St
Wakefield, RI 02879-3656
Registry dates
- Enumerated
- 2016-01-13
- Last updated
- 2016-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.