Clark, Frankie Jo
Clark, Frankie Jo is an individual health care provider with primary practice located at 501 Mantooth Ave , Lufkin TX 75904-3014. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Clark, Frankie Jo can be contacted via phone (936) 639-4993.Contact Information
Primary practice address
501 Mantooth Ave
Lufkin TX 75904-3014
Phone: (936) 639-4993
Fax: (936) 639-6838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 22932 | Texas |
Profile Details
| NPI number | 1447244546 |
|---|---|
| LBN Legal business name | Clark, Frankie Jo |
| Credentials | M.ED., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jul 28th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447244546 | NPPES |
| Texas | MEDICAID | 115741401 |
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