Clark, Wendy L.

Clark, Wendy L. is an sole proprietor health care provider with primary practice located at 133 N Main St , Beebe AR 72012-3045. 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, Wendy L. can be contacted via phone (501) 882-3852.

Contact Information

Primary practice address
133 N Main St Beebe AR 72012-3045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1722 Arkansas

Profile Details

NPI number 1710135504
LBN Legal business name Clark, Wendy L.
Credentials MSCCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2008
Last updated Sep 1st, 2011 - about 15 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 1710135504 NPPES
Arkansas MEDICAID 140673721

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