Individual
DR. STEPHANIE ELAINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
4045 E BELL RD STE 135, PHOENIX, AZ 85032-2234
(602) 277-8558
Mailing address
1230 E AUDREY LN, PHOENIX, AZ 85022-1243
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA1137
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
614728
—
AZ
Enumeration date
01/09/2006
Last updated
01/27/2021
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