Individual
NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3400 N WOODS LN, ROGERS, AR 72756-6712
(479) 636-3190
(479) 636-4587
Mailing address
3400 N WOODS LN, ROGERS, AR 72756-6712
(479) 636-3190
(479) 636-4587
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#3053
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12148849
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
AR
01
—
SP#3053
ARKANSAS BOARD OF EXAMINERS SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
AR
Enumeration date
10/13/2011
Last updated
10/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us