Clark, Fawn M.

Clark, Fawn M. is an individual health care provider with primary practice located at 3 Kensington Square Suite B, New Kensington PA 15068. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Clark, Fawn M. can be contacted via phone (724) 335-9733.

Contact Information

Primary practice address
3 Kensington Square Suite B New Kensington PA 15068
Fax: (724) 335-9734
Website:

Health care specialties

Profile Details

NPI number 1205159779
LBN Legal business name Clark, Fawn M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2010
Last updated Mar 11th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205159779 NPPES
Pennsylvania MEDICAID 1007624160014
Pennsylvania Other 330989
Pennsylvania Other 184265
Pennsylvania Other 424947
Pennsylvania Other 7109257
Pennsylvania Other 206234
Pennsylvania Other 1000364
Pennsylvania Other 2595457

Popular Providers