Clark, Stephen
Clark, Stephen is an sole proprietor health care provider with primary practice located at 4199 Bernardo Ct , Chino CA 91710-4902. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Clark, Stephen can be contacted via phone (909) 497-4882.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 23404 | California |
Profile Details
| NPI number | 1902552714 |
|---|---|
| LBN Legal business name | Clark, Stephen |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2022 |
| Last updated | Mar 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902552714 | NPPES |
| California | Other | 23404 | SPEECH LANGUAGE PATHOLOGY LICENSE |
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