Clark, Kathleen M.
Clark, Kathleen M. is an sole proprietor health care provider with primary practice located at 3724 Jefferson St Suite 206, Austin TX 78731-6221. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Kathleen M. can be contacted via phone (512) 452-8948.Contact Information
Primary practice address
3724 Jefferson St Suite 206
Austin TX 78731-6221
Phone: (512) 452-8948
Fax: (512) 452-0459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | S03218 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3218 | Texas |
Profile Details
| NPI number | 1740276906 |
|---|---|
| LBN Legal business name | Clark, Kathleen M. |
| Credentials | L.C.S.W. , B.C.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Sep 8th, 2008 - about 16 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.
Popular Providers
-
Hampton, Mary Karen
12741 Research Blvd Suite 300, Austin TX 78759-4388 -
Quirl, Janice M
2300 Barton Skwy # 1 , Austin TX 78704-4704 -
Squires, Elaine
3215 Steck Ave Suite 200, Austin TX 78757-7566 -
Guess, Karen Boomershine
3103 Bee Caves Rd Ste 125, Austin TX 78746-5523 -
Byrd-Garofalo, Anne K
3660 Stoneridge Rd Building A101, Austin TX 78746-7760 -
Legacy, Sue Genaro
12741 N Hwy 183 Suite 300, Austin TX 78759-4388 -
Rider, Kathy T
3724 Jefferson Ste 206, Austin TX 78731 -
Harnden, Susan
805 E 32Nd St Suite 101, Austin TX 78705-2537