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Contact Information

AMY S. CLARK, SPEECH LANGUAGE PATHOLOGIST,LLC
129 COLORADO AVENUE
PUEBLO, CO81004
 Phone: 719-369-6862
 Fax: 719-941-7314
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for AMY S CLARK SPEECH LANGUAGE PATHOLOGISTLLC · (Female)

NPI # 1841898053
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2020
Last updated 02/24/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO Medicaid 95037071
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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