Individual
MRS. BRENDA S CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7501 OTOE PL, LINCOLN, NE 68506-3636
(402) 486-6649
(402) 484-6413
Mailing address
7501 OTOE PL, LINCOLN, NE 68506-3636
(402) 486-6649
(402) 484-6413
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
924
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251395-00
—
NE
Enumeration date
06/12/2008
Last updated
06/12/2008
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