Thompson, Clark Robert

Thompson, Clark Robert is an individual health care provider with primary practice located at 86 W Sunbridge Dr , Fayetteville AR 72703-1822. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Thompson, Clark Robert can be contacted via phone (479) 435-6360.

Contact Information

Primary practice address
86 W Sunbridge Dr Fayetteville AR 72703-1822
Phone: (479) 435-6360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1810AP-PL Arkansas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1003284274
LBN Legal business name Thompson, Clark Robert
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2015
Last updated Oct 31st, 2018 - about 7 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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