Clark, Lori Ellen

Clark, Lori Ellen is an individual health care provider with primary practice located at 1095 S Main St , Cheshire CT 06410-3432. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Lori Ellen can be contacted via phone (203) 271-3809.

Contact Information

Primary practice address
1095 S Main St Cheshire CT 06410-3432
Phone: (203) 271-3809
Fax: (203) 272-6968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3952 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3952 North Carolina

Profile Details

NPI number 1326359860
LBN Legal business name Clark, Lori Ellen
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2010
Last updated Feb 16th, 2017 - about 7 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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