Clark, Gail M

Clark, Gail M is an individual health care provider with primary practice located at 278 Wilmas Way , Dover DE 19901-5538. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clark, Gail M can be contacted via phone (302) 604-3906.

Contact Information

Primary practice address
278 Wilmas Way Dover DE 19901-5538
Phone: (302) 604-3906
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X PC-0000366 Delaware

Profile Details

NPI number 1497895460
LBN Legal business name Clark, Gail M
Credentials LPCMH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Feb 20th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497895460 NPPES
Delaware MEDICAID 1000040998

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