Individual
KRISTEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-3689
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.20201332-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.14550
OH
Other
Enumeration date
08/20/2020
Last updated
10/28/2024
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