Individual
HANNAH STOLTZ CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
150 CORNWALL DR, MADISONVILLE, KY 42431-8781
(270) 825-0166
Mailing address
1500 PRIDE AVE, MADISONVILLE, KY 42431-9157
(270) 821-1813
(270) 825-2644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
162769
KY
235Z00000X
Speech-Language Pathologist
Primary
A00216200
KY
Other
Enumeration date
12/31/2014
Last updated
10/11/2021
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