Clark, Tanner

Clark, Tanner is an individual health care provider with primary practice located at 326 W 11Th St , Shawnee OK 74801-6710. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Clark, Tanner can be contacted via phone (580) 262-0250.

Contact Information

Primary practice address
326 W 11Th St Shawnee OK 74801-6710
Phone: (580) 262-0250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1427421668
LBN Legal business name Clark, Tanner
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2015
Last updated Nov 10th, 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.

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