SearchPennsylvania164W00000X

Stacie Clark

NPI 1619567690 · on the registry since 2021

Practice

Address
115 E Patterson Ave
Butler, PA 16001
Phone
(724) 991-8337

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania