Smith, Lisa Clark
Smith, Lisa Clark is an sole proprietor health care provider with primary practice located at 108 Shadowood Rd , Clemson SC 29631-1914. 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. Smith, Lisa Clark can be contacted via phone (864) 653-9757.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2264 | South Carolina |
Profile Details
| NPI number | 1184865024 |
|---|---|
| LBN Legal business name | Smith, Lisa Clark |
| Credentials | M.A. CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2009 |
| Last updated | Mar 23rd, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184865024 | NPPES |
| South Carolina | MEDICAID | SAO659 |
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