Individual
MATTHEW RYAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 MAHALANI ST, #19A, WAILUKU, HI 96793-2521
(808) 244-7467
(808) 242-5835
Mailing address
95 MAHALANI ST, #19A, WAILUKU, HI 96793-2521
(808) 244-7467
(808) 242-5835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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