Individual
DR. KERRIANNE MARIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
8314 TRAFORD LN STE C, SPRINGFIELD, VA 22152-1661
(703) 536-1666
(703) 522-2483
Mailing address
8314 TRAFORD LN STE C, SPRINGFIELD, VA 22152-1661
(703) 536-1666
(703) 522-2483
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001627
VA
237600000X
Audiologist-Hearing Aid Fitter
2101002111
VA
Other
Enumeration date
04/05/2016
Last updated
06/15/2021
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