DR. STEPHANIE ELAINE CLARK (NPI# 1700864733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700864733 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE ELAINE CLARK |
| Credential | AU.D., CCC-A |
| Practice Address |
13934 N 59th Ave Ste 120 Glendale AZ 85306-4167 |
| Practice Telephone | 6028660147 |
| Practice Fax Number | 6025479644 |
| Mailing Telephone | 6028660147 |
| Mailing Fax Number | 6025479644 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2013-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | DA1137 | AZ | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 614728 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612605 | Stephanie Clark | Massage Therapist | 15227 Spring Cor, San Antonio, TX 78247-1693 | 2020-09-01 |
| 1811516156 | Stephanie Clark | Social Worker | 10185 Isle St, Parker, CO 80134-5788 | 2020-04-15 |
| 1306486444 | Stephanie Clark | Licensed Practical Nurse | 636 Clay Ave Uppr, Rochester, NY 14613-1030 | 2020-01-07 |
| 1841681046 | Stephanie Clark | Technician, Other | 2917 S Ash Ct, Broken Arrow, OK 74012-7804 | 2015-02-09 |
| 1760816326 | Stephanie Diane Clark | Case Manager/Care Coordinator | 4613 Se 41st St, Del City, OK 73115-3703 | 2013-08-30 |
| 1538447560 | Stephanie Renae Clark | Physical Therapist | 927 Battlefield Blvd N, Suite 200, Chesapeake, VA 23320-4853 | 2011-07-25 |
| 1932330545 | Stephanie D Clark | Social Worker | 16581 Us Highway 17 N Ste 600, Hampstead, NC 28443-7451 | 2009-07-30 |
| 1487719787 | Stephanie Clark | Licensed Practical Nurse | 55 Ramble Hill Lane, Millbrook, NY 12545 | 2006-12-27 |
| 1811057425 | Stephanie Clark | Dentist | 7601 A Germantown Ave, Philadelphia, PA 19119 | 2006-12-12 |
| 1851395453 | Stephanie Clark | Chiropractor | 3 Elmwood Rd, Hancock, NH 03449-5629 | 2005-06-10 |
| Street Address |
13934 N 59TH AVE STE 120 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770930166 | Revive Wellness & Rejuvenation | Physical Medicine & Rehabilitation | 13934 N 59th Ave, Suite 100, Glendale, AZ 85306-4167 | 2016-05-16 |
| 1649511163 | Integrity Health & Wellness Center LLC | Family Medicine | 13934 N 59th Ave, Suite 100, Glendale, AZ 85306-4167 | 2013-03-07 |
| 1396098414 | Erdmann Chiropractic L.l.c | Nurse Practitioner | 13934 N 59th Ave, Ste. 100, Glendale, AZ 85306 | 2012-10-26 |
| 1750645073 | Kelly Jean Halterman | Audiologist-Hearing Aid Fitter | 13934 N 59th Ave, Suite 120, Glendale, AZ 85306-4167 | 2012-07-02 |
| 1053542175 | Arizona Wellness Chiropractic, LLC | Chiropractor | 13934 N 59th Ave, 100, Glendale, AZ 85306-4167 | 2009-08-06 |
| 1356570378 | Arizona Clinic of Gastroenterology PC | Internal Medicine | 13934 N 59th Ave, Suite 160, Glendale, AZ 85306-4167 | 2009-07-12 |
| 1467658948 | Sally Ann Teodoro | Audiologist | 13934 N 59th Ave, Glendale, AZ 85306-4167 | 2007-06-22 |
| 1225257181 | Jared Paul Trimble | Audiologist | 13934 N 59th Ave, Glendale, AZ 85306-4167 | 2007-04-25 |
| 1083839666 | Metro Hearing Associates, LLC | Audiologist | 13934 N 59th Ave, Suite # 120, Glendale, AZ 85306-4167 | 2007-04-17 |
| 1740301399 | Dan Trimble | Audiologist | 13934 N 59th Ave, Suite 120, Glendale, AZ 85306-4167 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (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. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409032 | Clemente Morales | Audiologist | 5757 W Thunderbird Rd Ste E156, Glendale, AZ 85306-5602 | 2020-08-27 |
| 1578183547 | Enhance Audiology, Inc | Audiologist | 230 N Maryland Ave Ste 200, Glendale, CA 91206-4282 | 2020-04-20 |
| 1245364967 | Stephanie Mackey | Audiologist | 372 W. Arden Ave. #101, Glendale, CA 91203 | 2007-03-15 |
| 1356474589 | Stephen F Teodoro | Audiologist | 13934 North 59th Avenue, Suite #120, Glendale, AZ 85306 | 2007-03-14 |
| 1124170303 | Glendale Professional Hearing Center,inc | Audiologist | 372 Arden Ave Ste 101, Glendale, CA 91203-1196 | 2007-01-17 |
| 1386125789 | Troy V Holloway | Audiologist | 5750 W Thunderbird Rd Ste F600, Glendale, AZ 85306-4667 | 2018-08-23 |
| 1225526536 | Daniel Anthony Bos | Audiologist | 5757 W Thunderbird Rd, Glendale, AZ 85306-4641 | 2018-04-23 |
| 1255712097 | Connect Hearing, Inc. | Audiologist | 1111 N Brand Blvd, Ste L, Glendale, CA 91202-3023 | 2015-06-17 |
| 1770921884 | Mark S Maxwell | Audiologist | 18700 N 64th Dr, Ste 201, Glendale, AZ 85308-7109 | 2013-06-11 |
| 1477805992 | Connect Hearing, Inc. | Audiologist | 100 N Brand Blvd, Suite 203, Glendale, CA 91203-2657 | 2012-10-08 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.