Clark, Gregory Allen

Clark, Gregory Allen is an sole proprietor health care provider with primary practice located at 1150 5Th St Ste 270 , Coralville IA 52241-2933. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Clark, Gregory Allen can be contacted via phone (319) 804-9312.

Contact Information

Primary practice address
1150 5Th St Ste 270 Coralville IA 52241-2933
Phone: (319) 804-9312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 093800 Iowa

Profile Details

NPI number 1548736622
LBN Legal business name Clark, Gregory Allen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2018
Last updated Oct 16th, 2018 - 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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