Clark, Deanna

Clark, Deanna is an sole proprietor health care provider with primary practice located at 4021 Iona Cir , Anchorage AK 99507-3341. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Clark, Deanna can be contacted via phone (907) 344-6042.

Contact Information

Primary practice address
4021 Iona Cir Anchorage AK 99507-3341
Phone: (907) 344-6042
Fax: (907) 644-2808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 39 Alaska

Profile Details

NPI number 1871641084
LBN Legal business name Clark, Deanna
Credentials MS,CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 9th, 2007 - 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 1871641084 NPPES
Alaska Other 39 PROFESSIONAL SLP LICENSE
Alaska MEDICAID SP9180 PROFESSIONAL SLP LICENSE

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