Clarke, Lolalyn
Clarke, Lolalyn is an sole proprietor health care provider with primary practice located at 183 S Orange Ave , Newark NJ 07103-2757. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Clarke, Lolalyn can be contacted via phone (973) 972-1084.Contact Information
Primary practice address
183 S Orange Ave
Newark NJ 07103-2757
Phone: (973) 972-1084
Fax: (973) 972-6976
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 35SI00539400 | New Jersey |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 019400-1 | New York |
Profile Details
NPI number | 1700274578 |
---|---|
LBN Legal business name | Clarke, Lolalyn |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 2nd, 2015 |
Last updated | Jan 2nd, 2015 - about 10 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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