Clark, Amy Elizabeth

Clark, Amy Elizabeth is an sole proprietor health care provider with primary practice located at 1027 Hiland St , Monticello KY 42633-1370. 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, Amy Elizabeth can be contacted via phone (606) 348-8283.

Contact Information

Primary practice address
1027 Hiland St Monticello KY 42633-1370
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X KY-2826 Kentucky

Profile Details

NPI number 1881818656
LBN Legal business name Clark, Amy Elizabeth
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Jul 9th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881818656 NPPES
Kentucky MEDICAID 1715

Popular Providers