Clarke, Kathleen Anne
Clarke, Kathleen Anne is an individual health care provider with primary practice located at 1506 S Oneida St , Appleton WI 54915-1305. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Clarke, Kathleen Anne can be contacted via phone (920) 738-2681.Contact Information
Primary practice address
1506 S Oneida St
Appleton WI 54915-1305
Phone: (920) 738-2681
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2262-057 | Wisconsin |
Profile Details
| NPI number | 1093838047 |
|---|---|
| LBN Legal business name | Clarke, Kathleen Anne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093838047 | NPPES |
| Wisconsin | MEDICAID | 39132100 |
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