NPI 1053584292

Jennifer Ann Clark

Practitioner Audiologist Lewiston, ID

Practice location

Address: 330 Warner Dr, Lewiston, ID 83501-4441
Phone: (208) 746-0193
Fax: (208) 746-7074

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AUD-1728 (ID)

Other Audiologist providers in Idaho →

Registry record

NPI: 1053584292
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2008
Record last updated: 28 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.