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.
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