Individual
RILEY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MS, CCC-SLP
Contact information
Practice address
5121 MARYLAND WAY STE 301, BRENTWOOD, TN 37027-7516
(815) 741-9261
Mailing address
200 HILLSIDE COTTAGE LN APT 606, NASHVILLE, TN 37207-4873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8642
TN
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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