Clark, Charles Brendan

Clark, Charles Brendan is an individual health care provider with primary practice located at 1713 6Th Ave S , Birmingham AL 35294-0018. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Clark, Charles Brendan can be contacted via phone (205) 801-8000.

Contact Information

Primary practice address
1713 6Th Ave S Birmingham AL 35294-0018
Phone: (205) 801-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1731 Alabama

Profile Details

NPI number 1417399858
LBN Legal business name Clark, Charles Brendan
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2013
Last updated Jul 26th, 2013 - about 12 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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