Clark, Tracy
Clark, Tracy is an sole proprietor health care provider with primary practice located at 6000 Youngstown-Warren Rd Tcesc, Niles OH 44446. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Clark, Tracy can be contacted via phone (330) 505-2800.Contact Information
Primary practice address
6000 Youngstown-Warren Rd Tcesc
Niles OH 44446
Phone: (330) 505-2800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Home Health Aide | 374U00000X | Ohio | |
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | ||
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP 10535 | Ohio |
Profile Details
NPI number | 1528463593 |
---|---|
LBN Legal business name | Clark, Tracy |
Credentials | MA, CCC-SLP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 3rd, 2014 |
Last updated | Nov 17th, 2020 - about 5 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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