Clark Strickland, Teresa J

Clark Strickland, Teresa J is an individual health care provider with primary practice located at 205B Concord Rd , Anderson SC 29621-2731. 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 Strickland, Teresa J can be contacted via phone (864) 940-8639.

Contact Information

Primary practice address
205B Concord Rd Anderson SC 29621-2731
Phone: (864) 940-8639
Fax: (864) 752-1308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005401 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4253 South Carolina

Profile Details

NPI number 1063458867
LBN Legal business name Clark Strickland, Teresa J
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 18th, 2014 - about 11 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 1063458867 NPPES
Georgia MEDICAID 137530215A
Georgia MEDICAID SA0864

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