DR. JAIME ANN CLARK PH.D.
NPI 1457641045
Psychologist - Clinical in Herrin, IL

Active since April 15, 2011
413 JESSE LN, HERRIN, IL 62948(970) 397-3005 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jaime Ann Clark Ph.d. NPPES

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

DR. JAIME ANN CLARK PH.D. (NPI 1457641045) is an individual clinical provider in Herrin, Illinois, licensed in Illinois (071.007614) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1457641045
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAIME ANN CLARKCredential: PH.D.
Location Address413 JESSE LNHerrin, IL 62948-3786
Mailing Address413 Jesse LnHerrin, IL 62948-3786 · (970) 397-3005
Sole ProprietorYes
Enumeration DateApril 15, 2011
NPI 1457641045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IL · 071.007614
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.

413 JESSE LN, Herrin, IL 62948

Other Providers at the Same Location NPPES

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

Physical Therapy Assistant
413 JESSE LN
HERRIN, IL 62948

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457641045, enumerated as an "individual" on April 15, 2011.

The provider is located at 413 JESSE LN HERRIN, IL 62948 and the phone number is (970) 397-3005.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.