Clark, Sally Marie
Clark, Sally Marie is an sole proprietor health care provider with primary practice located at 2820 Columbiana Rd Ste 210, Birmingham AL 35216-2589. 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, Sally Marie can be contacted via phone (205) 979-6800.Contact Information
Primary practice address
2820 Columbiana Rd Ste 210
Birmingham AL 35216-2589
Phone: (205) 979-6800
Fax: (205) 823-5374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2824 | Alabama |
Profile Details
| NPI number | 1942441928 |
|---|---|
| LBN Legal business name | Clark, Sally Marie |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2009 |
| Last updated | Dec 2nd, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942441928 | NPPES |
| Alabama | MEDICAID | 158619 | |
| Alabama | Other | 511-39634 |
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