Clark, Hannah
Clark, Hannah is an individual health care provider with primary practice located at 515 N Hickory St Apt 202 , Champaign IL 61820-3889. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Hannah can be contacted via phone (779) 236-6844.Contact Information
Primary practice address
515 N Hickory St Apt 202
Champaign IL 61820-3889
Phone: (779) 236-6844
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071010348 | Illinois |
Profile Details
| NPI number | 1851709026 |
|---|---|
| LBN Legal business name | Clark, Hannah |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2014 |
| Last updated | Sep 28th, 2020 - about 6 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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