Healthcare Provider Details

I. General information

NPI: 1235396920
Provider Name (Legal Business Name): KAREN HUBBARD CLARK PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 09/21/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 MAGNOLIA AVE S
BIRMINGHAM AL
35205-2827
US

IV. Provider business mailing address

459 MAIN ST STE 101-338
TRUSSVILLE AL
35173-1416
US

V. Phone/Fax

Practice location:
  • Phone: 205-705-0195
  • Fax: 205-994-6013
Mailing address:
  • Phone: 205-202-9619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1499
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: