Clark, Heather Amy

Clark, Heather Amy is an individual health care provider with primary practice located at 1555 Sunrise Hwy , Bay Shore NY 11706-6027. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clark, Heather Amy can be contacted via phone (631) 666-1615.

Contact Information

Primary practice address
1555 Sunrise Hwy Bay Shore NY 11706-6027
Phone: (631) 666-1615
Fax: (631) 666-1709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000547-1 New York

Profile Details

NPI number 1043251259
LBN Legal business name Clark, Heather Amy
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 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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