Clark, William Walter
Clark, William Walter is an individual health care provider with primary practice located at 2110 Gallows Rd # B , Vienna VA 22182-3962. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, William Walter can be contacted via phone (703) 506-8378.Contact Information
Primary practice address
2110 Gallows Rd # B
Vienna VA 22182-3962
Phone: (703) 506-8378
Fax: (703) 893-1011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810002215 | Virginia |
Profile Details
| NPI number | 1972716702 |
|---|---|
| LBN Legal business name | Clark, William Walter |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 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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