Chidester, Clinton Richard
Chidester, Clinton Richard is an individual health care provider with primary practice located at 96 North 500 West , Bountiful UT 74010-2840. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Chidester, Clinton Richard can be contacted via phone (801) 698-8755.Contact Information
Primary practice address
96 North 500 West
Bountiful UT 74010-2840
Phone: (801) 698-8755
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1121493902 | Utah |
Profile Details
| NPI number | 1033308317 |
|---|---|
| LBN Legal business name | Chidester, Clinton Richard |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2007 |
| Last updated | Oct 23rd, 2007 - about 19 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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