Clark, Stacina Elizabeth
Clark, Stacina Elizabeth is an sole proprietor health care provider with primary practice located at 2000 Old West Chester Pike , Havertown PA 19083-2712. 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, Stacina Elizabeth can be contacted via phone (484) 454-8700.Contact Information
Primary practice address
2000 Old West Chester Pike
Havertown PA 19083-2712
Phone: (484) 454-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | PC009950 | Pennsylvania |
Profile Details
| NPI number | 1174023980 |
|---|---|
| LBN Legal business name | Clark, Stacina Elizabeth |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2018 |
| Last updated | Feb 19th, 2018 - about 8 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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