Individual
KAITLYN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSLP
Contact information
Practice address
480 PIERCE ST STE 309, KINGSTON, PA 18704-5512
(570) 855-5592
Mailing address
480 PIERCE ST STE 309, KINGSTON, PA 18704-5512
(570) 855-5592
(877) 407-4329
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010763
PA
Other
Enumeration date
10/08/2012
Last updated
12/12/2020
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