Clark, Madison Anne
Clark, Madison Anne is an individual health care provider with primary practice located at 711 W Main Street , Norman OK 73069-6918. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Madison Anne can be contacted via phone (405) 882-4960.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1407195183 |
|---|---|
| LBN Legal business name | Clark, Madison Anne |
| Credentials | LPC CANDIDATE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2013 |
| Last updated | Apr 28th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407195183 | NPPES |
| Oklahoma | MEDICAID | 1407195183 |
Popular Providers
-
Bowen, Jennifer Kay
1215 Crossroads Blvd , Norman OK 73072-3334 -
Djimi, Serge
2021 Alameda St Apt 216 , Norman OK 73071-2195 -
Carmen, Holly
1300 Mcgee Dr Ste 101A , Norman OK 73072-5858 -
Killman, Megan
1161 Sonoma Park Dr Ste 100 , Norman OK 73071-5120 -
Basquine, Anthony Jaden
2500 Mcgee Dr Ste 126 , Norman OK 73072-6705 -
Puckett, Heather
1650 W Tecumseh Rd Ste 500 , Norman OK 73069-8284 -
Malork, Heather Lynn
1650 W Tecumseh Rd Ste 500 , Norman OK 73069-8284 -
Oliver, Kim
2807 Castlewood Dr , Norman OK 73072-7526