Wentworth, Clarissa
Wentworth, Clarissa is an individual health care provider with primary practice located at 1321 Research Park Dr , Beavercreek OH 45432-2851. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wentworth, Clarissa can be contacted via phone (937) 427-3837.Contact Information
Primary practice address
1321 Research Park Dr
Beavercreek OH 45432-2851
Phone: (937) 427-3837
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I1000187 | Ohio |
Profile Details
| NPI number | 1326352667 |
|---|---|
| LBN Legal business name | Wentworth, Clarissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2010 |
| Last updated | Jul 28th, 2010 - about 15 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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