Clark, Erika L.
Clark, Erika L. is an individual health care provider with primary practice located at 100 Century Dr , Worcester MA 01606-1244. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Clark, Erika L. can be contacted via phone (508) 334-6392.Contact Information
Primary practice address
100 Century Dr
Worcester MA 01606-1244
Phone: (508) 334-6392
Fax: (774) 441-6072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 10246 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 10246 | Massachusetts |
Profile Details
| NPI number | 1962957043 |
|---|---|
| LBN Legal business name | Clark, Erika L. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2016 |
| Last updated | Nov 21st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962957043 | NPPES |
| Massachusetts | MEDICAID | 110118477A |
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