Clark, Gabriele A

Clark, Gabriele A is an individual health care provider with primary practice located at 678 Ridge Rd Apt 6 , Lackawanna NY 14218-1540. 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, Gabriele A can be contacted via phone (315) 575-2633.

Contact Information

Primary practice address
678 Ridge Rd Apt 6 Lackawanna NY 14218-1540
Phone: (315) 575-2633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 024825 New York

Profile Details

NPI number 1205212461
LBN Legal business name Clark, Gabriele A
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2015
Last updated Aug 10th, 2015 - about 10 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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