Clark, Clayton Adam
Clark, Clayton Adam is an individual health care provider with primary practice located at 230 S Bemiston Ave Ste 920 , Clayton MO 63105-1907. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Clark, Clayton Adam can be contacted via phone (314) 413-9249.Contact Information
Primary practice address
230 S Bemiston Ave Ste 920
Clayton MO 63105-1907
Phone: (314) 413-9249
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1972128890 |
|---|---|
| LBN Legal business name | Clark, Clayton Adam |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2020 |
| Last updated | Jun 16th, 2020 - about 5 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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