Clark, Ellen M
Clark, Ellen M is an sole proprietor health care provider with primary practice located at 2201 Bergenline Ave 2Nd Floor Therapeutic Nursery, Union City NJ 07087-3582. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Clark, Ellen M can be contacted via phone (201) 558-3735.Contact Information
Primary practice address
2201 Bergenline Ave 2Nd Floor Therapeutic Nursery
Union City NJ 07087-3582
Phone: (201) 558-3735
Fax: (201) 392-5048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 35SI00132200 | New Jersey |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 009278 | New York |
Profile Details
| NPI number | 1497833321 |
|---|---|
| LBN Legal business name | Clark, Ellen M |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 30th, 2009 - about 15 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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