Individual
ROY ELLIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-A
Contact information
Practice address
2345 NORTHPARK DR, COLUMBUS, IN 47203-4473
(812) 669-1490
(812) 669-1491
Mailing address
2345 NORTHPARK DR, COLUMBUS, IN 47203-4473
(812) 669-1490
(812) 669-1491
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002042
IN
237600000X
Audiologist-Hearing Aid Fitter
23002042
IN
Other
Enumeration date
04/22/2008
Last updated
05/15/2025
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