Individual
COURTNEY N CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
731 N KLEIN CIR, DERBY, KS 67037-7011
(316) 440-9617
Mailing address
731 N KLEIN CIR, ATTENT: THERAPY DEPT., DERBY, KS 67037
(316) 440-9617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3265
KS
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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