Individual
MS. CYNTHIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 6TH ST STE 111, LOS ANGELES, CA 90017-1823
(323) 404-1027
(323) 340-8298
Mailing address
625 FAIR OAKS AVE STE 200, SOUTH PASADENA, CA 91030-2694
(323) 341-5580
(323) 340-8298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5862
CA
Other
Enumeration date
01/14/2011
Last updated
08/12/2016
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