Clark, Mary Leann

Clark, Mary Leann is an sole proprietor health care provider with primary practice located at 192 Bacon Creek Rd , Corbin KY 40701-8639. 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, Mary Leann can be contacted via phone (606) 526-1900.

Contact Information

Primary practice address
192 Bacon Creek Rd Corbin KY 40701-8639
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2166 Kentucky

Profile Details

NPI number 1689136905
LBN Legal business name Clark, Mary Leann
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2019
Last updated Apr 4th, 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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