Clark, Staci M

Clark, Staci M is an sole proprietor health care provider with primary practice located at 355 Oak Grove Rd , Spartanburg SC 29301-2537. 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, Staci M can be contacted via phone (864) 595-4225.

Contact Information

Primary practice address
355 Oak Grove Rd Spartanburg SC 29301-2537
Fax: (864) 595-4821
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3567 South Carolina

Profile Details

NPI number 1841218732
LBN Legal business name Clark, Staci M
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 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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