Clark, Robert Roy
Clark, Robert Roy is an sole proprietor health care provider with primary practice located at 176 Route 81 , Killingworth CT 06419-1422. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Clark, Robert Roy can be contacted via phone (860) 663-2668.Contact Information
Primary practice address
176 Route 81
Killingworth CT 06419-1422
Phone: (860) 663-2668
Fax: (860) 663-2488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2170 | Connecticut |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4648 | New York |
Profile Details
| NPI number | 1629008453 |
|---|---|
| LBN Legal business name | Clark, Robert Roy |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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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