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Contact Information

AMY B CLARK, PMHCNS-BC
3909 WOODLEY RD
TOLEDO, OH43606-1169
 Phone: 419-725-3330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health, Adult

163WP0809X
Indicates primary specialty

NPI Profile & details for AMY B CLARK · (Female)

NPI # 1194074567
Status Active
Credentials PMHCNS-BC
Entity Individual
Enumeration date 08/31/2012
Last updated 05/08/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OH License # APRN.CNS.13737
  • OH License # RN.205761-COA1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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