Clark, Shay
Clark, Shay is an sole proprietor health care provider with primary practice located at 1258 W South Jordan Pkwy , South Jordan UT 84095-4711. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clark, Shay can be contacted via phone (801) 255-1155.Contact Information
Primary practice address
1258 W South Jordan Pkwy
South Jordan UT 84095-4711
Phone: (801) 255-1155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 80827886009 | Utah |
Profile Details
| NPI number | 1144569112 |
|---|---|
| LBN Legal business name | Clark, Shay |
| Credentials | APC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2013 |
| Last updated | Feb 11th, 2013 - about 13 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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