Clark, Laura Kathleen
Clark, Laura Kathleen is an sole proprietor health care provider with primary practice located at 305 Washington St Sw , Blacksburg VA 24060-4745. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Laura Kathleen can be contacted via phone (540) 552-3046.Contact Information
Primary practice address
305 Washington St Sw
Blacksburg VA 24060-4745
Phone: (540) 552-3046
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810001506 | Virginia |
Profile Details
| NPI number | 1477608867 |
|---|---|
| LBN Legal business name | Clark, Laura Kathleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477608867 | NPPES |
| Virginia | MEDICAID | 7755023 |
Popular Providers
-
Crouse, Roy Howard
820 University City Blvd Suite 1, Blacksburg VA 24060-2708 -
Bever, Lynn Marie
1501 Lark Ln , Blacksburg VA 24060-2658 -
Betzel, Cathye Griffin
240 Mccomas Hall Virginia Tech, Blacksburg VA 24061-0108 -
Duma, Christine Cooper
700 University City Blvd , Blacksburg VA 24060-2706 -
Miller, Robert C.
2001 S Main St , Blacksburg VA 24060-6678 -
Young, Bozana N/A
820 University City Blvd # 1 , Blacksburg VA 24060-2708 -
Sturgis, Ellie T
200 Professional Park Dr Se Suite 1, Blacksburg VA 24060-6679 -
Ribbe, David P
200 Country Club Dr Sw , Blacksburg VA 24060-5400