Clark, Christie B
Clark, Christie B is an individual health care provider with primary practice located at 787 E Long Bay Dr , Inman SC 29349-5916. 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, Christie B can be contacted via phone (864) 308-8004.Contact Information
Primary practice address
787 E Long Bay Dr
Inman SC 29349-5916
Phone: (864) 308-8004
Fax: (864) 345-8446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3753 | South Carolina |
Profile Details
| NPI number | 1114231784 |
|---|---|
| LBN Legal business name | Clark, Christie B |
| Credentials | MSP, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2010 |
| Last updated | Aug 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114231784 | NPPES |
| South Carolina | MEDICAID | SA1124 |
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