Clark, Ellen M

Clark, Ellen M is an sole proprietor health care provider with primary practice located at 2201 Bergenline Ave 2Nd Floor Therapeutic Nursery, Union City NJ 07087-3582. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Clark, Ellen M can be contacted via phone (201) 558-3735.

Contact Information

Primary practice address
2201 Bergenline Ave 2Nd Floor Therapeutic Nursery Union City NJ 07087-3582
Phone: (201) 558-3735
Fax: (201) 392-5048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 35SI00132200 New Jersey
Behavioral Health & Social Service Providers / Psychologist 103T00000X 009278 New York

Profile Details

NPI number 1497833321
LBN Legal business name Clark, Ellen M
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 30th, 2009 - about 17 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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