Clark, Maria G

Clark, Maria G is an individual health care provider with primary practice located at 3260 N Hayden Rd Suite 112, Scottsdale AZ 85251-6649. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Maria G can be contacted via phone (480) 804-0326.

Contact Information

Primary practice address
3260 N Hayden Rd Suite 112 Scottsdale AZ 85251-6649
Phone: (480) 804-0326
Fax: (480) 804-0083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LISAC-10628 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-13317 Arizona

Profile Details

NPI number 1750442596
LBN Legal business name Clark, Maria G
Credentials LPC, LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Oct 13th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750442596 NPPES
Arizona MEDICAID 559377

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