Ella Rose Clark, - Psychologist in Beavercreek, OH

Ella Rose Clark, is a Psychologist based in Beavercreek, Ohio. Ella Rose Clark is licensed to practice in Ohio (license number ) and her current practice location is 3640 Colonel Glenn Hwy, Beavercreek, Ohio. She can be reached at her office (for appointments etc.) via phone at (937) 775-3490.

NPI number for Ella Rose Clark is 1013880335 and her current mailing address is 92 Ceramic Dr, Columbus, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013880335.

Contact Information

Ella Rose Clark,
3640 Colonel Glenn Hwy,
Beavercreek, OH 45324-2029
(937) 775-3490
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameElla Rose Clark
GenderFemale
SpecialityPsychologist
Location3640 Colonel Glenn Hwy, Beavercreek, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013880335
  • Provider Enumeration Date: 09/24/2025
  • Last Update Date: 09/24/2025

Medical Identifiers

Medical identifiers for Ella Rose Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013880335NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ella Rose Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ella Rose Clark,
92 Ceramic Dr,
Columbus, OH 43214-3004

Ph: () -
Ella Rose Clark,
3640 Colonel Glenn Hwy,
Beavercreek, OH 45324-2029

Ph: (937) 775-3490

Reviews and Comments


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