NPI 1215360771
Amanda Dianne Clark, AUD
Practice location
- Address
- 10099 Ridgegate Pkwy Suite 230, Lone Tree, CO 80124-5531
- Phone
- (303) 706-1616
- Fax
- (303) 706-0151
- Mailing address
- 4053 S Kirk Way, Aurora, CO 80013-6029
Registered specialties
Audiologist
Primary
Registry record
- NPI
- 1215360771
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Aug 2013
- Record last updated
- 19 Aug 2013
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.