| Dr Katherine Travis Clark, PHD | |
|
1016 Industrial Park Dr, Clinton, MS 39056-3210 | |
| (601) 383-2998 | |
| Not Available |
| Full Name | Dr Katherine Travis Clark |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 1016 Industrial Park Dr, Clinton, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548458680 | NPI | - | NPPES |
| 04587367 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 33-522 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Katherine Travis Clark, PHD Po Box 2332, Clinton, MS 39060-2332 Ph: (601) 383-2998 | Dr Katherine Travis Clark, PHD 1016 Industrial Park Dr, Clinton, MS 39056-3210 Ph: (601) 383-2998 |
Suzanne Jourdan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 107 Hunters Pointe Ct, Clinton, MS 39056 Phone: 601-668-5212 | |
Dr. Anita Craft, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Countrywood Cir, Clinton, MS 39056 Phone: 601-955-1457 |