Clark, Kerrianne Maria

Clark, Kerrianne Maria is an individual health care provider with primary practice located at 8314 Traford Ln Ste C , Springfield VA 22152-1661. 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 / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Clark, Kerrianne Maria can be contacted via phone (703) 536-1666.

Contact Information

Primary practice address
8314 Traford Ln Ste C Springfield VA 22152-1661
Phone: (703) 536-1666
Fax: (703) 522-2483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 2101002111 Virginia
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201001627 Virginia

Profile Details

NPI number 1376906420
LBN Legal business name Clark, Kerrianne Maria
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2016
Last updated Jun 15th, 2021 - about 3 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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