Clark, Debra Ashley
Clark, Debra Ashley is an sole proprietor health care provider with primary practice located at 41 W 25Th St Fl 3 , New York NY 10010-2085. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Clark, Debra Ashley can be contacted via phone (800) 854-2772.Contact Information
Primary practice address
41 W 25Th St Fl 3
New York NY 10010-2085
Phone: (800) 854-2772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A.01922 | Ohio |
Profile Details
| NPI number | 1255683330 |
|---|---|
| LBN Legal business name | Clark, Debra Ashley |
| Credentials | AU,D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2012 |
| Last updated | Nov 7th, 2022 - about 2 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 | 1255683330 | NPPES |
| Georgia | Other | AUD004112 | PROFESSIONAL LICENSE |
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