Cory, Clare M

Cory, Clare M is an sole proprietor health care provider with primary practice located at 9405 S Avenida Del Yaqui , Guadalupe AZ 85283-2529. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Cory, Clare M can be contacted via phone (480) 768-2025.

Contact Information

Primary practice address
9405 S Avenida Del Yaqui Guadalupe AZ 85283-2529
Phone: (480) 768-2025
Fax: (480) 768-2053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3002 Arizona

Profile Details

NPI number 1972656064
LBN Legal business name Cory, Clare M
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972656064 NPPES
Arizona MEDICAID 854580

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