Clark, Stephanie Elaine
Clark, Stephanie Elaine is an individual health care provider with primary practice located at 4045 E Bell Rd Ste 135 , Phoenix AZ 85032-2234. 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, Stephanie Elaine can be contacted via phone (602) 277-8558.Contact Information
Primary practice address
4045 E Bell Rd Ste 135
Phoenix AZ 85032-2234
Phone: (602) 277-8558
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | DA1137 | Arizona |
Profile Details
NPI number | 1700864733 |
---|---|
LBN Legal business name | Clark, Stephanie Elaine |
Credentials | AU.D., CCC-A |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2006 |
Last updated | Jan 27th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700864733 | NPPES |
Arizona | MEDICAID | 614728 |
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