person
Jody R Clark
Speech-Language Assistant in Phoenix, Arizona
NPI 1821367178

Jody R Clark is a Speech-Language Assistant based in Phoenix, AZ and is specialized in Speech-Language Assistant. Jody R Clark practices in Phoenix, AZ. The NPI Number for Jody R Clark is 1821367178 and holds a License No. SLPA7559 (Arizona).

The current practice location address for Jody R Clark is 20402 N 15Th Ave, Phoenix, AZ and can be reached out via phone at 623-445-5952 and via fax at 623-445-5095.

Location: 20402 N 15Th Ave, Phoenix, AZ, 85027-3636
person
Provider Profile Details
NPI Number
1821367178
Provider Name
Jody R Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
20402 N 15Th Ave, Phoenix, AZ, 85027-3636
Phone Number
623-445-5952
Fax Number
623-445-5095
Provider Enumeration Date
12/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20402 N 15Th Ave
City
State
Zip
85027-3636
Phone Number
623-445-5952
Fax Number
623-445-5095
person
Provider Business Mailing Address Details
Address
20402 N 15Th Ave
City
State
Zip
85027-3636
Phone Number
623-445-5952
Fax Number
623-445-5095
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
SLPA7559 (Arizona)
Definition
Definition to come...
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