Clark, Phyllis Susan

Clark, Phyllis Susan is an individual health care provider with primary practice located at 407 S Lincoln Ave , Steamboat Springs CO 80487-8907. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Phyllis Susan can be contacted via phone (970) 879-2141.

Contact Information

Primary practice address
407 S Lincoln Ave Steamboat Springs CO 80487-8907
Fax: (970) 879-7912
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW.00000022 Colorado

Profile Details

NPI number 1679539076
LBN Legal business name Clark, Phyllis Susan
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 25th, 2019 - about 5 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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