Individual
BRANDON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
14369 PARK AVE STE 201A, VICTORVILLE, CA 92392-2300
(760) 278-1484
Mailing address
1945 MANCHESTER CT, SAN JACINTO, CA 92582-6903
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA5014
CA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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