Clark, Patricia A

Clark, Patricia A is an sole proprietor health care provider with primary practice located at 1155 Louisiana Ave Suite 106, Winter Park FL 32789-2351. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Clark, Patricia A can be contacted via phone (407) 629-4356.

Contact Information

Primary practice address
1155 Louisiana Ave Suite 106 Winter Park FL 32789-2351
Phone: (407) 629-4356
Fax: (407) 629-1812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY5994 Florida

Profile Details

NPI number 1912000993
LBN Legal business name Clark, Patricia A
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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