Clark, Anita Lynn
Clark, Anita Lynn is an sole proprietor health care provider with primary practice located at 3839 Constellation Rd Ste C , Lompoc CA 93436-0434. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Clark, Anita Lynn can be contacted via phone (805) 268-5219.Contact Information
Primary practice address
3839 Constellation Rd Ste C
Lompoc CA 93436-0434
Phone: (805) 268-5219
Fax: (805) 733-0216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1750914610 |
|---|---|
| LBN Legal business name | Clark, Anita Lynn |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2020 |
| Last updated | Nov 23rd, 2020 - about 4 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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