Clark, Mary Anne

Clark, Mary Anne is an individual health care provider with primary practice located at 7358 N Lincoln Ave Ste 170 , Lincolnwood IL 60712-1710. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Clark, Mary Anne can be contacted via phone (773) 430-4601.

Contact Information

Primary practice address
7358 N Lincoln Ave Ste 170 Lincolnwood IL 60712-1710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1013077361
LBN Legal business name Clark, Mary Anne
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2006
Last updated May 3rd, 2024 - about 7 months 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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