Irwin Clay, Mary E

Irwin Clay, Mary E is an sole proprietor health care provider with primary practice located at 3291 S Thompson St , Springdale AR 72764-7043. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Irwin Clay, Mary E can be contacted via phone (479) 751-3350.

Contact Information

Primary practice address
3291 S Thompson St Springdale AR 72764-7043
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 91-20P Arkansas

Profile Details

NPI number 1518926336
LBN Legal business name Irwin Clay, Mary E
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated Mar 31st, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518926336 NPPES
Arkansas Other 7789378 AETNA
Arkansas Other IRWCLAME AETNA
Arkansas Other 50047000000 AETNA

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