Clark, Elizabeth Anne
Clark, Elizabeth Anne is an individual health care provider with primary practice located at 950 Campbell Ave , West Haven CT 06516-2770. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Elizabeth Anne can be contacted via phone (203) 932-5711.Contact Information
Primary practice address
950 Campbell Ave
West Haven CT 06516-2770
Phone: (203) 932-5711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 003240 | Connecticut |
| Behavioral Health & Social Service Providers / Health | 103TH0004X | 003240 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 003240 | Connecticut |
Profile Details
| NPI number | 1073019527 |
|---|---|
| LBN Legal business name | Clark, Elizabeth Anne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2018 |
| Last updated | Apr 3rd, 2018 - about 8 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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