Individual
MRS. ALLISON TIFFIN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
11909 26TH AVE, FLUSHING, NY 11354-1022
(718) 762-6100
Mailing address
2576 44TH ST, APT 3F, ASTORIA, NY 11103-2083
(770) 533-0942
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0191231
NY
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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