Doctor Name: | MR. RICHARD E. CLARKE |
NPI Number: | 1003035031 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HIS |
License Number: | 1025 |
Business Practice Address: | 2201 W Worley St Columbia, MO - 652031055 |
Business Phone Number: | 5734451407 |
Business Fax Number: | |
Mailing Address: | 2201 W Worley St, COLUMBIA |
State: | MO |
Postal Code: | 652031055 |
Phone Number: | 5734451407 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 1025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |