Individual
MRS. PATRICIA S CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
301 WOLVERINE TRL, SUITE 201, SMYRNA, TN 37167-5656
(615) 220-5796
Mailing address
553 OLD LEBANON DIRT RD, HERMITAGE, TN 37076-4316
(615) 509-8133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 0000003927
TN
Other
Enumeration date
10/22/2009
Last updated
09/25/2012
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