Clemow, Craig Gibbons

Clemow, Craig Gibbons is an individual health care provider with primary practice located at 34 Depot St Suite 201, Pittsfield MA 01201-5130. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Clemow, Craig Gibbons can be contacted via phone (413) 499-4090.

Contact Information

Primary practice address
34 Depot St Suite 201 Pittsfield MA 01201-5130
Phone: (413) 499-4090
Fax: (413) 499-1844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4448 Massachusetts
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 196 Massachusetts

Profile Details

NPI number 1740348002
LBN Legal business name Clemow, Craig Gibbons
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740348002 NPPES
Massachusetts Other 667870 TUFTS

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