Dr Ellen M Clark, PHD | |
2201 Bergenline Ave, 2nd Floor Therapeutic Nursery, Union City, NJ 07087-3582 | |
(201) 558-3735 | |
(201) 392-5048 |
Full Name | Dr Ellen M Clark |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 2201 Bergenline Ave, Union City, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497833321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 35SI00132200 (New Jersey) | Secondary |
103T00000X | Psychologist | 009278 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Ellen M Clark, PHD 5 Peter Cooper Rd, Apt.14 F, New York, NY 10010-6622 Ph: (212) 228-7363 | Dr Ellen M Clark, PHD 2201 Bergenline Ave, 2nd Floor Therapeutic Nursery, Union City, NJ 07087-3582 Ph: (201) 558-3735 |
Maria Nicole Marchese-mazzeo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2002 New York Ave, Union City, NJ 07087 Phone: 201-647-4578 Fax: 201-865-3867 | |
Thomas John Gambino Jr., Psychologist Medicare: Not Enrolled in Medicare Practice Location: 206 36th St Apt 301, Union City, NJ 07087 Phone: 732-228-4766 |