Clark, Stephanie Elaine

Clark, Stephanie Elaine is an individual health care provider with primary practice located at 4045 E Bell Rd Ste 135 , Phoenix AZ 85032-2234. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Clark, Stephanie Elaine can be contacted via phone (602) 277-8558.

Contact Information

Primary practice address
4045 E Bell Rd Ste 135 Phoenix AZ 85032-2234
Phone: (602) 277-8558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X DA1137 Arizona

Profile Details

NPI number 1700864733
LBN Legal business name Clark, Stephanie Elaine
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jan 27th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700864733 NPPES
Arizona MEDICAID 614728

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