Stephanie Elaine Clark, AU.D., CCC-A
NPI 1700864733ActiveIndividual· Audiologist· Phoenix, AZ
Audiologist (AU.D., CCC-A) in Phoenix, Arizona, licensed in AZ, with an NPI issued in January 2006. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1700864733 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AU.D., CCC-A |
| Sole proprietor | No |
| NPI issued | Jan 9, 2006 |
| Last updated in NPPES | Jan 27, 2021 |
| Certified by provider | Jan 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | DA1137 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (AZ) |
|---|
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