NPI 1619171501 MRS. DUPRE DARBY CLACK MSP-CCC-SLP CHESTER SC. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Dupre Darby Clack - NPI: 1619171501

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. DUPRE DARBY CLACK
NPI Number: 1619171501
Entity Type Code: Individual (1)
Gender: F
Credentials: MSP-CCC-SLP
License Number: 2759
Business Practice Address: 109 Hinton St
Chester, SC - 297062022
Business Phone Number: 8035819544
Business Fax Number:
Mailing Address: 115 Smith St,
CHESTER
State: SC
Postal Code: 297061743
Phone Number: 8033772112
Fax Number: 8033858035
NPI Enumeration Date: 06/13/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: 2759
Healthcare Provider Taxonomy:
(Secondary)
Y
State: SC
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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