Jenny S Clark CCC-SLP

NPI 1386821346 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1386821346
Gender Female
Enumeration Date 01/22/2008
Last Updated 01/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2505 LAKEVIEW DR
SUITE 302
AMARILLO TX, 79109-1527, US
Phone (806) 358-8974
Fax (806) 359-0506
Business Location
PO BOX 3250
AMARILLO TX, 79116-3250, US
Phone (806) 359-8974
Fax (806) 359-0506
Toxanomy
Taxonomy Code 235Z00000X
License State Texas
License Number 12069
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According to our database, Ms. Jenny S Clark CCC-SLP NPI is 1386821346, taxonomy code is 235Z00000X and license number is 12069, license state is located at Texas. Jenny S Clark CCC-SLP physically located at 2505 Lakeview Dr, Amarillo TX, 79109-1527. NPI Number Jenny S Clark CCC-SLP has the Individual type.

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1386821346 NPI number is provided on an as is basis without warranty of any kind. 1386821346 is maintained by the National Plan & Provider Enumeration System. The contents of Jenny S Clark CCC-SLP are for informational purposes only.