Clark, Jenifer

Clark, Jenifer is an sole proprietor health care provider with primary practice located at 845 W End Ave Apt 2A , New York NY 10025-8436. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Jenifer can be contacted via phone (917) 584-3007.

Contact Information

Primary practice address
845 W End Ave Apt 2A New York NY 10025-8436
Phone: (917) 584-3007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 024217 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 024217 New York

Profile Details

NPI number 1023693736
LBN Legal business name Clark, Jenifer
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2021
Last updated Mar 15th, 2021 - about 3 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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