Individual
MRS. CARLA CHRISTINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3200 BROADWAY BLVD, SUITE 250, GARLAND, TX 75043-1573
(214) 497-8709
Mailing address
PO BOX 494563, GARLAND, TX 75049-4563
(972) 271-6000
(888) 755-0789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013205434
NPI
TX
Enumeration date
07/19/2011
Last updated
10/29/2021
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