Individual
BEVERLY CLARK-HORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4665 BLOWING ROCK BLVD, LENOIR, NC 28645-7708
(828) 898-7194
Mailing address
PO BOX 157, DEEP GAP, NC 28618-0157
(336) 877-2033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1652
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1652
NC BOARD OF EXAMINERS FOR SPEECH PATHOLOGISTS AND AUDIOLOGISTS
NC
Enumeration date
08/26/2008
Last updated
08/26/2008
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