Manns-Clark, Wilma

Manns-Clark, Wilma is an individual health care provider with primary practice located at 69 Avenue B , Madison WV 25130-1162. 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. Manns-Clark, Wilma can be contacted via phone (304) 369-3131.

Contact Information

Primary practice address
69 Avenue B Madison WV 25130-1162
Phone: (304) 369-3131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7089 West Virginia

Profile Details

NPI number 1245464791
LBN Legal business name Manns-Clark, Wilma
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2009
Last updated May 13th, 2009 - about 17 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 1245464791 NPPES
West Virginia MEDICAID 9409049000

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