Clark, Deborah Joy

Clark, Deborah Joy is an individual health care provider with primary practice located at 2265 W Broadway St , Idaho Falls ID 83402-2996. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Clark, Deborah Joy can be contacted via phone (208) 524-7400.

Contact Information

Primary practice address
2265 W Broadway St Idaho Falls ID 83402-2996
Phone: (208) 524-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Idaho

Profile Details

NPI number 1619712429
LBN Legal business name Clark, Deborah Joy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2024
Last updated Jun 25th, 2024 - about 5 months 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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