Clark, Jessica
Clark, Jessica is an sole proprietor health care provider with primary practice located at 15600 36Th Ave N Ste 120 , Plymouth MN 55446-3687. 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, Jessica can be contacted via phone (763) 595-0812.Contact Information
Primary practice address
15600 36Th Ave N Ste 120
Plymouth MN 55446-3687
Phone: (763) 595-0812
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1770326266 |
|---|---|
| LBN Legal business name | Clark, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2024 |
| Last updated | Jun 13th, 2024 - about 2 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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