Clarke, Vicki Knowles

Clarke, Vicki Knowles is an individual health care provider with primary practice located at 3105 Creekside Village Dr Nw Ste 603 , Kennesaw GA 30144-4218. 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. Clarke, Vicki Knowles can be contacted via phone (770) 974-2424.

Contact Information

Primary practice address
3105 Creekside Village Dr Nw Ste 603 Kennesaw GA 30144-4218
Phone: (770) 974-2424
Fax: (866) 384-6541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X GA SLP 003536 Georgia

Profile Details

NPI number 1669541223
LBN Legal business name Clarke, Vicki Knowles
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jun 14th, 2023 - about 2 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 1669541223 NPPES
Georgia MEDICAID 00675441C

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