Clark, Ronald Lee

Clark, Ronald Lee is an individual health care provider with primary practice located at 106 W Utica St , Oswego NY 13126-3330. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, Ronald Lee can be contacted via phone (315) 326-0155.

Contact Information

Primary practice address
106 W Utica St Oswego NY 13126-3330
Phone: (315) 326-0155
Fax: (315) 342-1133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R053849 New York

Profile Details

NPI number 1972613255
LBN Legal business name Clark, Ronald Lee
Credentials MSW LCSWR
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 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.

Request for update

Popular Providers