Clark, Thomas Lyon
Clark, Thomas Lyon is an sole proprietor health care provider with primary practice located at 1515 Payne St , Tallahassee FL 32303-5796. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, Thomas Lyon can be contacted via phone (850) 345-9119.Contact Information
Primary practice address
1515 Payne St
Tallahassee FL 32303-5796
Phone: (850) 345-9119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY3647 | Florida |
Profile Details
| NPI number | 1306061502 |
|---|---|
| LBN Legal business name | Clark, Thomas Lyon |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2007 |
| 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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