MS. Raynell Theresa Clark, M.A. CCC-SLP
NPI #1114248630 in Southfield, Michigan
Provider Information
- NPI Number
- 1114248630
- Entity Type
- Individual
- Name
- MS. Raynell Theresa Clark, M.A. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A. CCC-SLP
- Enumeration Date
- Jun 18, 2010
- Last Updated
- Jun 24, 2010
Practice Location
- Address
- 25281 LOIS LN
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-6159
- Phone
- (248) 227-4080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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