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Contact Information

ASHLEE CLARK
279 KENRIDGE RD
FAIRLAWN, OH44333-3424
 Phone: 330-217-7277
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ASHLEE CLARK · (Female)

NPI # 1104502848
Status Active
Credentials
Entity Individual
Enumeration date 06/27/2023
Last updated 06/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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