Healthcare Provider Details

I. General information

NPI: 1548328784
Provider Name (Legal Business Name): CLARKE SCHOOL FOR THE DEAF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 06/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 ROUND HILL RD
NORTHAMPTON MA
01060
US

IV. Provider business mailing address

47 ROUND HILL RD
NORTHAMPTON MA
01060-2123
US

V. Phone/Fax

Practice location:
  • Phone: 413-582-1114
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: VALERIE MARTIN
Title or Position: CFO
Credential:
Phone: 413-584-3450