Clark, Natalie

Clark, Natalie is an individual health care provider with primary practice located at 12110 Clayton Rd , Saint Louis MO 63131-2516. 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, Natalie can be contacted via phone (314) 989-8150.

Contact Information

Primary practice address
12110 Clayton Rd Saint Louis MO 63131-2516
Phone: (314) 989-8150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0375779 Missouri

Profile Details

NPI number 1780859231
LBN Legal business name Clark, Natalie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated Aug 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780859231 NPPES
Missouri MEDICAID 465941318

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