Clark, Twila B.
Clark, Twila B. is an sole proprietor health care provider with primary practice located at 17595 Harvard Ave Ste C , Irvine CA 92614-8522. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Twila B. can be contacted via phone (714) 615-9308.Contact Information
Primary practice address
17595 Harvard Ave Ste C
Irvine CA 92614-8522
Phone: (714) 615-9308
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 22187 | California |
Profile Details
| NPI number | 1689927824 |
|---|---|
| LBN Legal business name | Clark, Twila B. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2012 |
| Last updated | Oct 25th, 2012 - about 14 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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