DR. TARA LYNN CLARK PSYD
NPI 1063707115
Psychologist - Clinical in Ravenna, OH

Q: What is Tara Clark's NPI number?

The NPI number for Tara Clark is 1063707115. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Q: What is Tara Clark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Tara Clark was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 16, 2011

6751 N CHESTNUT ST, RAVENNA, OH 44266(330) 296-3641 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tara Lynn Clark Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TARA LYNN CLARK PSYD (NPI 1063707115) is an individual clinical provider in Ravenna, Ohio, licensed in Ohio (07627) and active in the NPI registry since June 2011. She maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1063707115

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TARA LYNN CLARKCredential: PSYD

Location Address6751 N CHESTNUT STRavenna, OH 44266-3903

Mailing Address6751 N Chestnut StRavenna, OH 44266-3903 · (330) 296-3641

Phone(330) 296-3641

Sole ProprietorNo

Enumeration DateJune 16, 2011

Last NPPES UpdateJune 10, 2021

NPPES CertifiedJune 10, 2021

✔ NPI 1063707115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OH · 07627

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X

6751 N CHESTNUT ST, Ravenna, OH 44266

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Secondary Practice Location 1

Location 14641 Fulton Dr NWCanton, OH 44718-2384 · Phone (330) 433-6075

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JANET ELAINE WERKNER PH.D., L.I.S.W.

Social Worker (Clinical)