Clark, Misty

Clark, Misty is an individual health care provider with primary practice located at 401 Indiana Ave , Mayfield KY 42066-1766. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Clark, Misty can be contacted via phone (270) 247-0200.

Contact Information

Primary practice address
401 Indiana Ave Mayfield KY 42066-1766
Phone: (270) 247-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 172845 Kentucky

Profile Details

NPI number 1023525045
LBN Legal business name Clark, Misty
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2017
Last updated Dec 30th, 2017 - about 8 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