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Ms. Jennifer Ann Clark
Audiologist in Lewiston, Idaho
NPI 1053584292

Jennifer Ann Clark is an Audiologist based in Lewiston, ID. Jennifer Ann Clark practices in Lewiston, ID. The NPI Number for Jennifer Ann Clark is 1053584292 and holds a License No. AUD-1728 (Idaho).

The current practice location address for Jennifer Ann Clark is 330 Warner Dr, Lewiston, ID and can be reached out via phone at 208-746-0193 and via fax at 208-746-7074.

Location: 330 Warner Dr, Lewiston, ID, 83501-4441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053584292
Provider Name
Jennifer Ann Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
330 Warner Dr, Lewiston, ID, 83501-4441
Phone Number
208-746-0193
Fax Number
208-746-7074
Provider Enumeration Date
04/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AU022 01 ID BLUE CROSS OF ID
000010170154 01 ID REGENCE BLUESHIELD OF ID
8560278 05 WA
808195700 05 ID
1580017 01 ID MEDICARE ID
P00678807 01 ID RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
330 Warner Dr
City
Lewiston
State
Idaho
Zip
83501-4441
Phone Number
208-746-0193
Fax Number
208-746-7074
person
Provider Business Mailing Address Details
Address
330 Warner Dr
City
Lewiston
State
Idaho
Zip
83501-4441
Phone Number
208-746-0193
Fax Number
208-746-7074
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Audiologist
Speciality
-
Taxonomy
231H00000X
License No.
AUD-1728 (Idaho)
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 auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
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