Amber S Clark, MS CCC-SLP is a 
Speech-language Pathologist based in Ontario, Idaho. Amber S Clark is licensed to practice in Idaho (license number 1821) and her current practice location is 
898 Sw Fourth Ave., Ontario, Idaho. She can be reached at her office (for appointments etc.) via phone at 
(541) 881-7330.
NPI number for Amber S Clark is 1609011592 and her current mailing address is 290 N Higbee Ave, Idaho Falls, Idaho. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609011592.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Amber S Clark | 
|---|
| Gender | Female | 
|---|
| Speciality | Speech-language Pathologist | 
|---|
| Location | 898 Sw Fourth Ave., Ontario, Idaho | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1609011592
- Provider Enumeration Date: 12/08/2008
- Last Update Date: 02/02/2009
 
		 
		 
Medical Identifiers
		Medical identifiers for Amber S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1609011592 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 235Z00000X | Speech-language Pathologist | 13019 (Oregon) | Secondary | 
| 235Z00000X | Speech-language Pathologist | 1821 (Idaho) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amber S Clark is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Amber S Clark, MS CCC-SLP 290 N Higbee Ave,
 Idaho Falls, ID 83401-2554
 Ph: (208) 890-6841
 | Amber S Clark, MS CCC-SLP 898 Sw Fourth Ave.,
 Ontario, ID 97914-2693
 Ph: (541) 881-7330
 | 
		
		 
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