Clark, Theresa M.

Clark, Theresa M. is an individual health care provider with primary practice located at 5 Colony Street Suites 301/303, Meriden CT 06451-3272. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Clark, Theresa M. can be contacted via phone (203) 235-7923.

Contact Information

Primary practice address
5 Colony Street Suites 301/303 Meriden CT 06451-3272
Phone: (203) 235-7923
Fax: (203) 235-0013
Website:
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Health care specialties

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

Profile Details

NPI number 1548441710
LBN Legal business name Clark, Theresa M.
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 19 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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