Clark, Krista Renae
Clark, Krista Renae is an individual health care provider with primary practice located at 1011 Professional Blvd , Dalton GA 30720-2506. 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, Krista Renae can be contacted via phone (706) 226-4623.Contact Information
Primary practice address
1011 Professional Blvd
Dalton GA 30720-2506
Phone: (706) 226-4623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP007831 | Georgia |
Profile Details
| NPI number | 1629336490 |
|---|---|
| LBN Legal business name | Clark, Krista Renae |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2012 |
| Last updated | Apr 30th, 2012 - about 14 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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