Clark, Carolyn

Clark, Carolyn is an individual health care provider with primary practice located at 6010 Hidden Valley Rd Ste 115 , Carlsbad CA 92011-4219. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clark, Carolyn can be contacted via phone (760) 797-8494.

Contact Information

Primary practice address
6010 Hidden Valley Rd Ste 115 Carlsbad CA 92011-4219
Phone: (760) 797-8494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AC001401 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP95013648 California

Profile Details

NPI number 1124429857
LBN Legal business name Clark, Carolyn
Credentials AC-CRNP-PMH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2014
Last updated Sep 3rd, 2020 - about 5 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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