Clark, Amy Sue

Clark, Amy Sue is an individual health care provider with primary practice located at 6 Erica Ct , Pueblo CO 81001-1074. 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 Sue can be contacted via phone (719) 369-6862.

Contact Information

Primary practice address
6 Erica Ct Pueblo CO 81001-1074
Phone: (719) 369-6862
Fax: (719) 941-7314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP.0000301 Colorado

Profile Details

NPI number 1568766756
LBN Legal business name Clark, Amy Sue
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2011
Last updated Oct 13th, 2020 - about 6 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 1568766756 NPPES
Colorado MEDICAID 95037071

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