Amy S. Clark, Speech Language Pathologist,Llc

LBN: Amy S. Clark, Speech Language Pathologist,Llc
Amy S. Clark, Speech Language Pathologist,Llc is an health care organization with primary practice located at 129 Colorado Avenue , Pueblo CO 81004. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Amy S. Clark, Speech Language Pathologist,Llc can be contacted via phone (719) 369-6862, or through Clark, Amy S. via phone (719) 369-6862.

Contact Information

Primary practice address
129 Colorado Avenue Pueblo CO 81004
Phone: (719) 369-6862
Fax: (719) 941-7314
Website:
Map and Directions
Authorized official contact:
Name: Clark, Amy S.
Phone: (719) 369-6862

Health care specialties

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

Profile Details

NPI number 1841898053
LBN Legal business name Amy S. Clark, Speech Language Pathologist,Llc
DBA Doing business as
Authorized official Clark, Amy S.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2020
Last updated Feb 24th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841898053 NPPES
Colorado MEDICAID 95037071

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