Clark, Andrew R

Clark, Andrew R is an sole proprietor health care provider with primary practice located at 2400 E 4Th St Suite 100, National City CA 91950-2026. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Clark, Andrew R can be contacted via phone (619) 631-0128.

Contact Information

Primary practice address
2400 E 4Th St Suite 100 National City CA 91950-2026
Fax: (619) 631-0153

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY10061 California

Profile Details

NPI number 1629010533
LBN Legal business name Clark, Andrew R
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Mar 28th, 2017 - 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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