Clementi, Mark A

Clementi, Mark A is an sole proprietor health care provider with primary practice located at 50 Old Courthouse Sq Ste 400 , Santa Rosa CA 95404-4924. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Exercise & Sports. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Clementi, Mark A can be contacted via phone (707) 527-0456.

Contact Information

Primary practice address
50 Old Courthouse Sq Ste 400 Santa Rosa CA 95404-4924
Phone: (707) 527-0456
Fax: (707) 527-1013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 13898 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY 13898 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 13898 California
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X PSY 13898 California

Profile Details

NPI number 1245465335
LBN Legal business name Clementi, Mark A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2009
Last updated May 19th, 2009 - about 15 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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