Clark, Elaine
Clark, Elaine is an sole proprietor health care provider with primary practice located at 501 Chipita Way Univ Of Utah Neuropsychiatric Institute, Salt Lake City UT 84108. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Clark, Elaine can be contacted via phone (801) 583-2500.Contact Information
Primary practice address
501 Chipita Way Univ Of Utah Neuropsychiatric Institute
Salt Lake City UT 84108
Phone: (801) 583-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 0047425017 | Utah |
Profile Details
| NPI number | 1770612863 |
|---|---|
| LBN Legal business name | Clark, Elaine |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Nov 12th, 2021 - about 4 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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