Clark, Peter

Clark, Peter is an sole proprietor health care provider with primary practice located at 203 W 21St Ave , Covington LA 70433-3151. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Clark, Peter can be contacted via phone (985) 867-9333.

Contact Information

Primary practice address
203 W 21St Ave Covington LA 70433-3151
Phone: (985) 867-9333
Fax: (985) 892-5057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 571 Louisiana

Profile Details

NPI number 1447310289
LBN Legal business name Clark, Peter
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 18 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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