Individual
MR. CLIFFORD WILLIAM CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-A
Contact information
Practice address
1653 THORNAPPLE CIR, VALPARAISO, IN 46385-5496
(219) 477-4730
(219) 462-6115
Mailing address
1653 THORNAPPLE CIR, VALPARAISO, IN 46385-5496
(219) 477-4730
(219) 462-6115
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1601000228
MI
231H00000X
Audiologist
Primary
23002893A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2822889
—
MI
Enumeration date
09/25/2007
Last updated
12/10/2024
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