Jessica Ann Clark, AU.D. Valid NPI

Individual provider · Audiologist · Eagle, ID

NPI

1457606832

Type

Individual (Type 1)

Primary specialty

Audiologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

231H00000X

License number

AUD-2269 (ID)

Sex

Female

Sole proprietor

No

Enumerated

2012-07-20

Last updated

2018-02-27