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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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