Clark, Heather Jordon
Clark, Heather Jordon is an sole proprietor health care provider with primary practice located at 2124 Ne 65Th St , Fort Lauderdale FL 33308-1010. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Heather Jordon can be contacted via phone (754) 800-2345.Contact Information
Primary practice address
2124 Ne 65Th St
Fort Lauderdale FL 33308-1010
Phone: (754) 800-2345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY7620 | Florida |
Profile Details
| NPI number | 1073799938 |
|---|---|
| LBN Legal business name | Clark, Heather Jordon |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2008 |
| Last updated | Jun 26th, 2023 - about last year |
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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