Clark, Betty L

Clark, Betty L is an sole proprietor health care provider with primary practice located at 205 E University Ave Suite 155, Georgetown TX 78626-6814. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Clark, Betty L can be contacted via phone (512) 864-2520.

Contact Information

Primary practice address
205 E University Ave Suite 155 Georgetown TX 78626-6814
Phone: (512) 864-2520
Fax: (254) 526-7853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 25588 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 25588 Texas

Profile Details

NPI number 1225262710
LBN Legal business name Clark, Betty L
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2009
Last updated Oct 22nd, 2009 - about 15 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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