Clark, Gary E.
Clark, Gary E. is an sole proprietor health care provider with primary practice located at 7529 Cinnabar Ter , Gaithersburg MD 20879-4576. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Clark, Gary E. can be contacted via phone (301) 917-7947.Contact Information
Primary practice address
7529 Cinnabar Ter
Gaithersburg MD 20879-4576
Phone: (301) 917-7947
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC 0902 | Maryland |
Profile Details
| NPI number | 1588605125 |
|---|---|
| LBN Legal business name | Clark, Gary E. |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jan 31st, 2022 - about 2 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 | 1588605125 | NPPES |
| Maryland | MEDICAID | 051700300 |
Popular Providers
-
Long, Pauliann
528 Tschiffely Square Rd , Gaithersburg MD 20878-5741 -
Azure, Don
4 Professional Dr Suite 120, Gaithersburg MD 20879-3407 -
Woods, Paula A.
915 Russell Ave Ste B , Gaithersburg MD 20879-6200 -
Rosenblatt, Danielle Megan
4 Professional Dr #120, Gaithersburg MD 20879-3407 -
Lappin, Robert William
13 E Deer Park Dr , Gaithersburg MD 20877-2014 -
Jay, Christina Yvonne
9841 Washingtonian Blvd Ste 200-1018 , Gaithersburg MD 20878-5389 -
Romayko, Elisabeth Anne
16220 S Frederick Ave Ste 512 , Gaithersburg MD 20877-4022 -
Smoot, Johanna E
9037 Shady Grove Ct , Gaithersburg MD 20877-1301