Individual
MRS. WENDY L. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
133 N MAIN ST, BEEBE, AR 72012-3045
(501) 882-3852
Mailing address
PO BOX 850, BEEBE, AR 72012-0850
(501) 882-3852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1722
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140673721
—
AR
Enumeration date
09/04/2008
Last updated
09/01/2011
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