Clark, Alicia

Clark, Alicia is an individual health care provider with primary practice located at 701 Madison Ave , Madison WV 25130-1669. 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, Alicia can be contacted via phone (304) 369-5719.

Contact Information

Primary practice address
701 Madison Ave Madison WV 25130-1669
Phone: (304) 369-5719
Fax: (304) 369-2930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1219 West Virginia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1219 West Virginia

Profile Details

NPI number 1538998620
LBN Legal business name Clark, Alicia
Credentials MS/CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2024
Last updated Jul 29th, 2024 - 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.

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