Clark, Kristen Michaela

Clark, Kristen Michaela is an individual health care provider with primary practice located at 25 N Yew St , Glen Cove NY 11542-1435. 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, Kristen Michaela can be contacted via phone (516) 669-0434.

Contact Information

Primary practice address
25 N Yew St Glen Cove NY 11542-1435
Phone: (516) 669-0434
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1740927326
LBN Legal business name Clark, Kristen Michaela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2022
Last updated May 16th, 2022 - about 4 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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