Clark, Julie D

Clark, Julie D is an individual health care provider with primary practice located at 200 White Eagle Dr , Ponca City OK 74601-8315. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Clark, Julie D can be contacted via phone (580) 762-3421.

Contact Information

Primary practice address
200 White Eagle Dr Ponca City OK 74601-8315
Phone: (580) 762-3421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1487084968
LBN Legal business name Clark, Julie D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2013
Last updated Mar 12th, 2019 - about 6 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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