PROF. Jackie Leah Clark, PHD

NPI #1417951484 in Tool, Texas

Provider Information

NPI Number: 1417951484
Entity Type: Individual
Name: PROF. Jackie Leah Clark, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Audiologist
Credential: PHD
Enumeration Date: Jun 8, 2005
Last Updated: Oct 28, 2020

Practice Location

Address: 601 S TOOL DR
City: Tool
State: Texas
ZIP Code: 75143-1959
Phone: (903) 432-1932

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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