Individual
ELIZABETH CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
16 S STATE ST, NEWTOWN, PA 18940-1963
(215) 514-2189
Mailing address
2007 E FIRTH ST, PHILADELPHIA, PA 19125-1315
(215) 514-2189
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013476
PA
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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