Clark, Kimberly D

Clark, Kimberly D is an individual health care provider with primary practice located at 1524 Lexington Road , Clovis NM 88101-6846. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Clark, Kimberly D can be contacted via phone (575) 219-9354.

Contact Information

Primary practice address
1524 Lexington Road Clovis NM 88101-6846
Phone: (575) 219-9354
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 105425 Texas

Profile Details

NPI number 1336421999
LBN Legal business name Clark, Kimberly D
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2011
Last updated Apr 17th, 2019 - about 7 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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