Clark, Shannon Nichole
Clark, Shannon Nichole is an individual health care provider with primary practice located at 650 E Indian School Rd , Phoenix AZ 85012-1839. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Clark, Shannon Nichole can be contacted via phone (602) 222-6412.Contact Information
Primary practice address
650 E Indian School Rd
Phoenix AZ 85012-1839
Phone: (602) 222-6412
Fax: (602) 222-6588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | DA 1924 | Arizona |
Profile Details
| NPI number | 1508837451 |
|---|---|
| LBN Legal business name | Clark, Shannon Nichole |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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