Clark, Katelyn Rose

Clark, Katelyn Rose is an individual health care provider with primary practice located at 605 E Main St Unit 19 , Bay Shore NY 11706-8505. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Clark, Katelyn Rose can be contacted via phone (631) 665-0795.

Contact Information

Primary practice address
605 E Main St Unit 19 Bay Shore NY 11706-8505
Phone: (631) 665-0795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 14000053702 New York

Profile Details

NPI number 1831726520
LBN Legal business name Clark, Katelyn Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2020
Last updated Mar 24th, 2020 - about 5 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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