Clark, Sandra
Clark, Sandra is an individual health care provider with primary practice located at 1801 Hickman Rd , Des Moines IA 50314-1505. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Clark, Sandra can be contacted via phone (515) 282-2319.Contact Information
Primary practice address
1801 Hickman Rd
Des Moines IA 50314-1505
Phone: (515) 282-2319
Fax: (515) 282-3234
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 00175 | Iowa |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 00439 | Iowa |
Profile Details
NPI number | 1912993825 |
---|---|
LBN Legal business name | Clark, Sandra |
Credentials | MHCL |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2005 |
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.
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