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Dr. Derrick J Clark, PHD
Psychologist in Santa Cruz, California
NPI 1568566917

Derrick J Clark is a Psychologist based in Santa Cruz, CA. Derrick J Clark practices in Santa Cruz, CA and has the professional credentials of PHD. The NPI Number for Derrick J Clark is 1568566917 and holds a License No. PSY13424 (California).

The current practice location address for Derrick J Clark is 1663 Dominican Way, Santa Cruz, CA and can be reached out via phone at 831-475-3231 and via fax at 831-462-4936.

Location: 1663 Dominican Way, Santa Cruz, CA, 95065-1527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568566917
Provider Name
Derrick J Clark
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1663 Dominican Way, Santa Cruz, CA, 95065-1527
Phone Number
831-475-3231
Fax Number
831-462-4936
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PSY134241 05 CA
institution
Provider Business Practice Location Address Details
Address
1663 Dominican Way
City
Santa Cruz
State
California
Zip
95065-1527
Phone Number
831-475-3231
Fax Number
831-462-4936
person
Provider Business Mailing Address Details
Address
1663 Dominican Way
City
Santa Cruz
State
California
Zip
95065-1527
Phone Number
831-475-3231
Fax Number
831-462-4936
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PSY13424 (California)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of 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; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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