Clark-Mcknight, Gena L

Clark-Mcknight, Gena L is an sole proprietor health care provider with primary practice located at 2080 Sylvan Way Apt 1507 , Lodi CA 95242-4734. She recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as her primary health care specialty. Clark-Mcknight, Gena L can be contacted via phone (262) 416-4208.

Contact Information

Primary practice address
2080 Sylvan Way Apt 1507 Lodi CA 95242-4734
Phone: (262) 416-4208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X California

Profile Details

NPI number 1578132601
LBN Legal business name Clark-Mcknight, Gena L
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2021
Last updated Jun 22nd, 2021 - about 4 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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