Individual
KATHERINE WILSON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
9041 EXECUTIVE PARK DR STE 126, KNOXVILLE, TN 37923-4603
(423) 306-0010
(865) 769-0801
Mailing address
561 ENGLISH VILLAGE WAY APT 1217, KNOXVILLE, TN 37919-8786
(423) 306-0010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6207
TN
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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