Clark, Brian

Clark, Brian is an sole proprietor health care provider with primary practice located at 954 Risa Rd Suite A, Lafayette CA 94549-3418. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Clark, Brian can be contacted via phone (925) 385-8050.

Contact Information

Primary practice address
954 Risa Rd Suite A Lafayette CA 94549-3418
Phone: (925) 385-8050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY25198 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY25198 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY25198 California
Behavioral Health & Social Service Providers / Family 103TF0000X PSY25198 California

Profile Details

NPI number 1629129804
LBN Legal business name Clark, Brian
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Mar 30th, 2013 - about 11 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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