Clay, Deborah Jane
Clay, Deborah Jane is an sole proprietor health care provider with primary practice located at 901 S Rainbow Rd , Rogers AR 72758-1637. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clay, Deborah Jane can be contacted via phone (479) 254-1144.Contact Information
Primary practice address
901 S Rainbow Rd
Rogers AR 72758-1637
Phone: (479) 254-1144
Fax: (479) 254-1099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P0104016 | Arkansas |
Profile Details
| NPI number | 1457395857 |
|---|---|
| LBN Legal business name | Clay, Deborah Jane |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Apr 4th, 2022 - about 4 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 | 1457395857 | NPPES |
| Arkansas | Other | 5X675 | BLUE SHIELD PROVIDER # |
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