Clark, Richard Joseph
Clark, Richard Joseph is an sole proprietor health care provider with primary practice located at 6700 N Port Washington Rd , Glendale WI 53217-3919. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, Richard Joseph can be contacted via phone (414) 351-0450.Contact Information
Primary practice address
6700 N Port Washington Rd
Glendale WI 53217-3919
Phone: (414) 351-0450
Fax: (414) 351-8845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1893057 | Wisconsin |
Profile Details
| NPI number | 1598839755 |
|---|---|
| LBN Legal business name | Clark, Richard Joseph |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Apr 25th, 2012 - about 13 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.
Popular Providers
-
Emiley, Stephen Francis
5900 N Port Washington Rd Suite A-230, Glendale WI 53217-4503 -
Schultz, Laura T
13 Fairlane Dr , Joliet IL 60435-6483 -
Moulopoulos, Alexa
6110 N Port Washington Rd , Glendale WI 53217-4308 -
Meyer Chan, Patricia
5800 N Bay Shore Dr Suite A250, Glendale WI 53217 -
Polczinski, Jeffrey Lewis
5555 N Port Washington Rd Suite 304, Glendale WI 53217 -
Smerz, Paul Marlin
6110 N Port Washington Rd , Glendale WI 53217-4308 -
Sigler, Todd Michael
1935 County Road B2 W Ste 270 , Roseville MN 55113-2785 -
Zussman, Mike
5800 N Bayshore Dr Ste A250 , Glendale WI 53217-4543