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:
Health care specialties
Specialty | Code | License # | 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 16 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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