Clark, Clayton V

Clark, Clayton V is an individual health care provider with primary practice located at 1219 K St Nw , Ardmore OK 73401-1801. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Clark, Clayton V can be contacted via phone (580) 798-4532.

Contact Information

Primary practice address
1219 K St Nw Ardmore OK 73401-1801
Phone: (580) 798-4532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1396498382
LBN Legal business name Clark, Clayton V
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2022
Last updated Apr 7th, 2022 - about 2 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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