Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jon B Clark, PHD

Individual provider Psychologist · NPI 1336118454

Dr. Jon B Clark, PHD is a Psychologist in Rochester, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

71 Walnut Blvd Ste 109
Rochester, MI 48307-2073
Phone: (248) 650-8990
Fax: (248) 650-8990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301005160 (MI)

Record details

NPI number1336118454
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 14, 2006
Last updated in NPPESDecember 7, 2016

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