Individual
ALYSSA MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
401 OAKWOOD BLVD, ROUND ROCK, TX 78681-4067
(512) 610-1727
Mailing address
632 GABRIEL MILLS DR, ROUND ROCK, TX 78664-7931
(814) 440-9443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110908
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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