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KATHLEEN CLARK CLARK SPEECH LANGUAGE PATH NPI 1114176328


NPI Information

NPI: 1114176328
Provider Name: KATHLEEN CLARK CLARK, SPEECH LANGUAGE PATH
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
2675 STATE ROUTE 28
THENDARA, NY
ZIP 13472
Phone: (315) 369-3307
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Kathleen Clark Clark, SPEECH LANGUAGE PATH is a speech language pathologist in Thendara, NY. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Kathleen Clark Clark, SPEECH LANGUAGE PATH NPI is 1114176328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2675 STATE ROUTE 28
THENDARA, NY
ZIP 13472-007
Phone: (315) 369-3307

The enumeration date for this NPI number is 9/11/2008 and was last updated on 9/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist00834-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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