Organization
LEWIS & CLARK INC
Active
Other names
Speech Connection
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN ELIZABETH CLARK MS CCC-SLP (DIRECTOR OF SPEECH PATHOLOGY & SLP)
(919) 787-4400
Entity
Organization
Contact information
Practice address
6512 SIX FORKS RD, STE 203B, RALEIGH, NC 27615-6561
(919) 787-4400
(919) 341-1020
Mailing address
6512 SIX FORKS RD, STE 203B, RALEIGH, NC 27615-6561
(919) 787-4400
(919) 341-1020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211817
—
NC
Enumeration date
12/05/2006
Last updated
03/01/2009
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