Amy J Clark SLP

NPI 1437461191 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1437461191
Gender Female
Enumeration Date 07/10/2010
Last Updated 07/10/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3609 WESTERN AVE
MATTOON IL, 61938-2040, US
Phone (217) 234-3821
Fax
Business Location
3609 WESTERN AVE
MATTOON IL, 61938-2040, US
Phone (217) 234-3821
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Illinois
License Number 146006254
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According to our database, Mrs. Amy J Clark SLP NPI is 1437461191, taxonomy code is 235Z00000X and license number is 146006254, license state is located at Illinois. Amy J Clark SLP physically located at 3609 Western Ave, Mattoon IL, 61938-2040. NPI Number Amy J Clark SLP has the Individual type.

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1437461191 NPI number is provided on an as is basis without warranty of any kind. 1437461191 is maintained by the National Plan & Provider Enumeration System. The contents of Amy J Clark SLP are for informational purposes only.