Individual provider · Type 1 NPI

Kristin Marie Clark, MS SPECIAL EDUCATION

Specialist · Rochester, NY

NPI number 1407106032 Active

Practice location

41 Colebrook Dr
Rochester, NY 14617-2211

Fax (585) 467-6973

Mailing address

17 Varden St
Rochester, NY 14609-4804

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1820739 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407106032

Kristin Marie Clark, MS SPECIAL EDUCATION's National Provider Identifier is 1407106032, issued on Sep 11, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rochester, NY. The record was last updated on Sep 11, 2012.