Clark, Penny Louise

Clark, Penny Louise is an individual health care provider with primary practice located at 221 Palisade Ave Palisade Behavioral Care, Jersey City NJ 07306. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Penny Louise can be contacted via phone (201) 656-3116.

Contact Information

Primary practice address
221 Palisade Ave Palisade Behavioral Care Jersey City NJ 07306
Phone: (201) 656-3116
Fax: (201) 656-9044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00319000 New Jersey

Profile Details

NPI number 1568572790
LBN Legal business name Clark, Penny Louise
Credentials MA LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 15th, 2023 - about 3 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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