Clay, Angela Dawn

Clay, Angela Dawn is an sole proprietor health care provider with primary practice located at 1303 Mockingbird Ln , Carterville IL 62918-1667. 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. Clay, Angela Dawn can be contacted via phone (618) 925-2471.

Contact Information

Primary practice address
1303 Mockingbird Ln Carterville IL 62918-1667
Fax:
Website:

Health care specialties

Profile Details

NPI number 1902937964
LBN Legal business name Clay, Angela Dawn
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 19 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 1902937964 NPPES
Illinois Other 12116272 ASHA CERTIFICATION NUMBER

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