Clark, Charles Brendan
Clark, Charles Brendan is an individual health care provider with primary practice located at 1713 6Th Ave S , Birmingham AL 35294-0018. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Clark, Charles Brendan can be contacted via phone (205) 801-8000.Contact Information
Primary practice address
1713 6Th Ave S
Birmingham AL 35294-0018
Phone: (205) 801-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1731 | Alabama |
Profile Details
| NPI number | 1417399858 |
|---|---|
| LBN Legal business name | Clark, Charles Brendan |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2013 |
| Last updated | Jul 26th, 2013 - about 13 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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