Clark, Deborah Wilson
Clark, Deborah Wilson is an individual health care provider with primary practice located at 3555 Alameda De Las Pulgas Ste 1, Menlo Park CA 94025-6509. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Clark, Deborah Wilson can be contacted via phone (650) 854-1980.Contact Information
Primary practice address
3555 Alameda De Las Pulgas Ste 1
Menlo Park CA 94025-6509
Phone: (650) 854-1980
Fax: (650) 854-1987
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | AU 1833 | California |
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | HA 3829 | California |
Profile Details
NPI number | 1801935424 |
---|---|
LBN Legal business name | Clark, Deborah Wilson |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 6th, 2007 |
Last updated | Oct 15th, 2010 - about 14 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 | 1801935424 | NPPES |
California | MEDICAID | GR0023741 |
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