Clark, Shay

Clark, Shay is an sole proprietor health care provider with primary practice located at 1258 W South Jordan Pkwy , South Jordan UT 84095-4711. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clark, Shay can be contacted via phone (801) 255-1155.

Contact Information

Primary practice address
1258 W South Jordan Pkwy South Jordan UT 84095-4711
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 80827886009 Utah

Profile Details

NPI number 1144569112
LBN Legal business name Clark, Shay
Credentials APC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2013
Last updated Feb 11th, 2013 - about 11 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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