Thompson, Clarence Alley
Thompson, Clarence Alley is an sole proprietor health care provider with primary practice located at 225 4Th Ave #203, Venice CA 90291-8605. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Thompson, Clarence Alley can be contacted via phone (310) 396-1716.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MFC 28772 | Massachusetts |
Profile Details
NPI number | 1508282385 |
---|---|
LBN Legal business name | Thompson, Clarence Alley |
Credentials | M.F.C.C. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 17th, 2014 |
Last updated | Mar 17th, 2014 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508282385 | NPPES |
California | Other | MFC 28772 | COBRA |
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