Anderson Clarke, Shakesha S

Anderson Clarke, Shakesha S is an individual health care provider with primary practice located at 271 Ft Richardson Ave Life Skills Support Center- 17Mdg, Goodfellow Afb TX 76908-4901. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Anderson Clarke, Shakesha S can be contacted via phone (325) 654-3122.

Contact Information

Primary practice address
271 Ft Richardson Ave Life Skills Support Center- 17Mdg Goodfellow Afb TX 76908-4901
Phone: (325) 654-3122
Fax: (325) 654-5161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1942367313
LBN Legal business name Anderson Clarke, Shakesha S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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