Clark, Stanley D
Clark, Stanley D is an individual health care provider with primary practice located at 2106 Treasure Hills Blvd , Harlingen TX 78550-8736. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Clark, Stanley D can be contacted via phone (956) 366-4500.Contact Information
Primary practice address
2106 Treasure Hills Blvd
Harlingen TX 78550-8736
Phone: (956) 366-4500
Fax: (956) 366-4501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2119 | Tennessee |
Profile Details
| NPI number | 1356418966 |
|---|---|
| LBN Legal business name | Clark, Stanley D |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Mar 21st, 2016 - about 9 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 | 1356418966 | NPPES |
| Tennessee | Other | 169996000 | MAGELLAN HEALTH |
| Tennessee | Other | 3094668 | MAGELLAN HEALTH |
| Tennessee | Other | 7838192 | MAGELLAN HEALTH |
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