Active NPIIndividual provider

Melissa L Clark, AUD

Audiologist in Rutland, Vermont

NPI Number1902336753
Practice location
69 Allen St Ste 1, Rutland, VT 05701-4564
Fax
802-775-9617
Last updated
June 14, 2017

Melissa Lynn Clark is an Audiologist based in Rutland, VT. Melissa Lynn Clark practices in Rutland, VT and has the professional credentials of AUD. The NPI Number for Melissa Lynn Clark is 1902336753 and holds a License No. 0123131 (VT). The current practice location address for Melissa Lynn Clark is 69 Allen St Ste 1, Rutland, VT 05701-4564 and can be reached out via phone at 802-775-3315 and via fax at 802-775-9617.

Provider Profile Details

NPI Number
1902336753
Provider Name
Melissa Lynn Clark
Credential
AUD
Provider Entity Type
Individual
Gender
Female
Address
69 Allen St Ste 1, Rutland, VT 05701-4564
Phone Number
802-775-3315
Fax Number
802-775-9617
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2017
Last Update Date
June 14, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
69 Allen St Ste 1
Rutland, VT 05701-4564
State
Vermont
Zip
05701-4564
Phone Number
802-775-3315
Fax Number
802-775-9617
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
160 Allen Street
Medical Staff Office
Rutland, VT 05701-4650
City
Rutland
State
VT
Zip
05701-4650
Phone Number
802-747-3639
Fax Number
802-747-6207

License Information

License Number
0123131
License State
VT
Taxonomy
Audiologist · 231H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Melissa L Clark, AUD?

The NPI number of Melissa L Clark, AUD is 1902336753. It was assigned on June 14, 2017 and is currently active in the NPPES registry.

What is the specialty of Melissa L Clark, AUD?

Melissa L Clark, AUD is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in VT under license number 0123131.

Where does Melissa L Clark, AUD practice?

The practice location is 69 Allen St Ste 1, Rutland, VT 05701-4564. The office can be reached at 802-775-3315 (phone) or 802-775-9617 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902336753 directly on the NPPES registry website.

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