Clark, Sydney Mattis Elyse

Clark, Sydney Mattis Elyse is an individual health care provider with primary practice located at 7591 Tylers Place Blvd , West Chester OH 45069-6308. 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, Sydney Mattis Elyse can be contacted via phone (513) 755-6600.

Contact Information

Primary practice address
7591 Tylers Place Blvd West Chester OH 45069-6308
Phone: (513) 755-6600
Fax: (513) 755-3762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP.09290 Ohio
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP-9290 Ohio

Profile Details

NPI number 1174753529
LBN Legal business name Clark, Sydney Mattis Elyse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2009
Last updated Jul 17th, 2020 - about 6 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 1174753529 NPPES
Ohio MEDICAID 0406425

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