Clark, Alyssa G

Clark, Alyssa G is an sole proprietor health care provider with primary practice located at 1751 S Lumpkin St , Athens GA 30606-4740. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Alyssa G can be contacted via phone (706) 354-4204.

Contact Information

Primary practice address
1751 S Lumpkin St Athens GA 30606-4740
Phone: (706) 354-4204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002917 Georgia

Profile Details

NPI number 1093867384
LBN Legal business name Clark, Alyssa G
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 19 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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