Clark, Michelle

Clark, Michelle is an individual health care provider with primary practice located at 1010 East And West Rd , West Seneca NY 14224-3602. She recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as her primary health care specialty. Clark, Michelle can be contacted via phone (716) 697-1127.

Contact Information

Primary practice address
1010 East And West Rd West Seneca NY 14224-3602
Phone: (716) 697-1127
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1487161121
LBN Legal business name Clark, Michelle
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2018
Last updated Jan 3rd, 2018 - 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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