Nichols, Clark Matthew

Nichols, Clark Matthew is an sole proprietor health care provider with primary practice located at 75 Maiden Ln Ste 323 , New York NY 10038-4810. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Nichols, Clark Matthew can be contacted via phone (212) 379-6447.

Contact Information

Primary practice address
75 Maiden Ln Ste 323 New York NY 10038-4810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 017671 New York

Profile Details

NPI number 1598976912
LBN Legal business name Nichols, Clark Matthew
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2007
Last updated Jan 23rd, 2023 - about 2 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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