Clark, Laura Kathleen

Clark, Laura Kathleen is an individual health care provider with primary practice located at 122 E Olin Ave Suite 220, Madison WI 53713-1487. 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 (608) 255-9119.

Contact Information

Primary practice address
122 E Olin Ave Suite 220 Madison WI 53713-1487
Phone: (608) 255-9119
Fax: (608) 255-9219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2982-57 Wisconsin

Profile Details

NPI number 1730458159
LBN Legal business name Clark, Laura Kathleen
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2011
Last updated Dec 14th, 2011 - about 15 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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