Clark, Katie

Clark, Katie is an sole proprietor health care provider with primary practice located at 29 Washington St , Peru NY 12972-2729. 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, Katie can be contacted via phone (518) 593-5632.

Contact Information

Primary practice address
29 Washington St Peru NY 12972-2729
Phone: (518) 593-5632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 013343 New York

Profile Details

NPI number 1073898797
LBN Legal business name Clark, Katie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2011
Last updated Oct 13th, 2011 - about 15 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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