Clark, Elizabeth

Clark, Elizabeth is an individual health care provider with primary practice located at 11134 Michael Way , Beaumont CA 92223-6255. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Elizabeth can be contacted via phone (909) 534-9873.

Contact Information

Primary practice address
11134 Michael Way Beaumont CA 92223-6255
Phone: (909) 534-9873
Fax: (909) 534-9873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 111816 California

Profile Details

NPI number 1396886719
LBN Legal business name Clark, Elizabeth
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Oct 16th, 2023 - about last year

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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