National Provider Identifier
Kristin Marie Clark, MS SPECIAL EDUCATION
Kristin Marie Clark, MS SPECIAL EDUCATION is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 467-4567.
Profile Overview
- NPI
- 1407106032
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- September 11, 2012
- Last Updated
- September 11, 2012
Practice Location
- 41 Colebrook Dr
- Rochester, NY 14617-2211
Phone: (585) 467-4567
Mailing Address
- 17 Varden St
- Rochester, NY 14609-4804
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1407106032
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Kristin
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- MS SPECIAL EDUCATION
- Mailing Street Address
- 17 Varden St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-4804
- Mailing Country
- US
- Practice Street Address
- 41 Colebrook Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-2211
- Practice Country
- US
- Practice Phone
- (585) 467-4567
- Practice Fax
- (585) 467-6973
- Enumeration Date
- September 11, 2012
- Last Updated
- September 11, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)