Clark, Cory
Clark, Cory is an sole proprietor health care provider with primary practice located at 213 Robinson St , Wakefield RI 02879-3656. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Clark, Cory can be contacted via phone (401) 680-9157.Contact Information
Primary practice address
213 Robinson St
Wakefield RI 02879-3656
Phone: (401) 680-9157
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS01098 | Rhode Island |
Profile Details
NPI number | 1588020051 |
---|---|
LBN Legal business name | Clark, Cory |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 13th, 2016 |
Last updated | Jan 13th, 2016 - about 9 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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