Beckley, Clark Q
Beckley, Clark Q is an individual health care provider with primary practice located at 4745 Main St Suite 207, Lisle IL 60532-1754. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Beckley, Clark Q can be contacted via phone (630) 442-1895.Contact Information
Primary practice address
4745 Main St Suite 207
Lisle IL 60532-1754
Phone: (630) 442-1895
Fax: (630) 442-1895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.016945 | Illinois |
Profile Details
| NPI number | 1194026443 |
|---|---|
| LBN Legal business name | Beckley, Clark Q |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2010 |
| Last updated | Sep 30th, 2016 - about 9 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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