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DR. GENA L CLARK-MCKNIGHT PH.D. NPI 1578132601


NPI Information

NPI: 1578132601
Provider Name: DR. GENA L CLARK-MCKNIGHT, PH.D.
Classification: Psychologist - 103TF0200X
Entity Type: Individual

Specialization: Forensic

Address:
2080 SYLVAN WAY APT 1507
LODI, CA
ZIP 95242
Phone: (262) 416-4208
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DR. Gena L Clark-mcknight, PH.D. is a forensic psychologist in Lodi, CA. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. DR. Gena L Clark-mcknight, PH.D. NPI is 1578132601. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2080 SYLVAN WAY APT 1507
LODI, CA
ZIP 95242-734
Phone: (262) 416-4208

The enumeration date for this NPI number is 6/22/2021 and was last updated on 6/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TF0200XPsychologistForensicCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.