NPI 1346584679 · live from the CMS NPI Registry
Clara Clark
Speech-Language Pathologist, in Providence, RI. National Provider Identifier 1346584679, active.
NPI record
| NPI | 1346584679 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 455 Douglas Ave, Providence, RI 02908 |
| Practice phone | 401-553-8600 |
| Mailing address | 115 Main Ave, Warwick, RI 02886 |
| Enumerated | November 27, 2012 |
| Last updated | November 27, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | Sp00991 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.