Clark, Jody R

Clark, Jody R is an individual health care provider with primary practice located at 20402 N 15Th Ave , Phoenix AZ 85027-3636. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Clark, Jody R can be contacted via phone (623) 445-5952.

Contact Information

Primary practice address
20402 N 15Th Ave Phoenix AZ 85027-3636
Phone: (623) 445-5952
Fax: (623) 445-5095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA7559 Arizona

Profile Details

NPI number 1821367178
LBN Legal business name Clark, Jody R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2011
Last updated Dec 15th, 2011 - 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.

Request for update

Popular Providers