Jackie Leah Clark in Flower Mound - Audiologist
Jackie Leah Clark - NPI 1417951484
Jackie Leah Clark is a Audiologist in Flower Mound, Texas. Jackie Leah Clark practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Jackie Leah Clark is 1417951484. The last update date is 2020-10-28.
Jackie Leah Clark's current location address is 5038 Creekwood Dr, Flower Mound, Texas. You can contact this provider via phone number 9725398558 and fax number 2149053022. The mailing address for Jackie Leah Clark is 5038 Creekwood Dr, Flower Mound, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Leah Clark |
|---|---|
| Address | 5038 Creekwood Dr, Flower Mound, Texas |
| Phone Number | 9725398558 |
| Fax Number | 2149053022 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1417951484 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2020-10-28 |
Provider Mailing Address Detail
| Address | 5038 Creekwood Dr |
|---|---|
| City | Flower Mound |
| State | Texas (TX) |
| Post Code | 7502819130 |
| Phone Number | 9725398558 |
| Fax Number | 2149053022 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
|
Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 66993 | TX | CSHCN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jackie Leah Clark by the Centers for Medicare & Medicaid Services?
The Jackie Leah Clark has been assigned the NPI (National Provider Identifier) 1417951484 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jackie Leah Clark's physical address?
The Jackie Leah Clark is physically located at 5038 Creekwood Dr, in the city of Flower Mound, TX, with the postal code 7502819130.
What is Jackie Leah Clark's area of expertise and its corresponding taxonomy classification?
The Jackie Leah Clark's field of specialization is Audiologist, and it falls under the taxonomy code 231H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1417951484 to Jackie Leah Clark?
The Centers for Medicare & Medicaid Services assigned the 1417951484 to Jackie Leah Clark on 2005-06-08.
As of what date was the information pertaining to Jackie Leah Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jackie Leah Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-28.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH
NPI Number: 1528061124
Address: 2800 Willow Grove Rd, Manhattan, KS
NPI Number: 1285637884
Address: 1502 E Centennial Dr, Pittsburg, KS
NPI Number: 1336142702
Address: 1881 Telegraph Rd, Rising Sun, MD