Dr. Derrick J Clark is a Santa Cruz, California based psychologist who is specialized in General Psychology. Active license number of Dr. Derrick J Clark is PSY13424 for General Psychology in California. His current practice location is 1663 Dominican Way, Ste 214, Santa Cruz. Patients can reach him at 831-475-3231 or can fax him at 831-462-4936. Dr. Derrick J Clark is PHD in General Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1568566917. Dr. Derrick J Clark is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Dr. Derrick J Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Derrick J Clark
Specialization:
General Psychology
Gender:
Male
Credentials:
PHD
Practice Address:
1663 Dominican Way, Ste 214, Santa Cruz, California, 95065-1527
Phone:
831-475-3231
Fax:
831-462-4936
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1568566917
NPI Enumeration Date:
07 Sep, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Derrick J Clark are as mentioned below.
License Number
Specialization
State
Status
PSY13424
General Psychology
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Derrick J Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PSY134241
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Derrick J Clark 1663 Dominican Way, Ste 214 Santa Cruz, California
Zip:
95065-1527
Phone Number:
831-475-3231
Fax Number:
831-462-4936
Patients can reach Dr. Derrick J Clark at 1663 Dominican Way, Ste 214, Santa Cruz, California or can call to book an appointment on 831-475-3231.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.