Clark, Carol

Clark, Carol is an individual health care provider with primary practice located at 5 N Meadows Rd , Medfield MA 02052-2317. 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, Carol can be contacted via phone (508) 359-4532.

Contact Information

Primary practice address
5 N Meadows Rd Medfield MA 02052-2317
Phone: (508) 359-4532
Fax: (508) 359-0198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2990 Massachusetts

Profile Details

NPI number 1063846244
LBN Legal business name Clark, Carol
Credentials M.S., CCC-SP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2013
Last updated Aug 24th, 2013 - about 13 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 1063846244 NPPES
Massachusetts Other SL-M21875 GROUP MEDICARE B

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