Lark, Julianne S.
Lark, Julianne S. is an individual health care provider with primary practice located at 4021 W Main St Suite 100, Kalamazoo MI 49006-3706. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Lark, Julianne S. can be contacted via phone (269) 384-6055.Contact Information
Primary practice address
4021 W Main St Suite 100
Kalamazoo MI 49006-3706
Phone: (269) 384-6055
Fax: (269) 384-6056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6301008518 | Michigan |
Profile Details
| NPI number | 1134285885 |
|---|---|
| LBN Legal business name | Lark, Julianne S. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Dec 10th, 2013 - about 13 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 | 1134285885 | NPPES |
| Michigan | Other | 6301008518 | PSYCHOLOGY LICENSE |
| Michigan | Other | 68-0-C9-4634-0 | PSYCHOLOGY LICENSE |
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