John Russell Clark, MS SLPCCC
NPI #1831417922 in Laverock, Pennsylvania
Provider Information
- NPI Number
- 1831417922
- Entity Type
- Individual
- Name
- John Russell Clark, MS SLPCCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS SLPCCC
- Enumeration Date
- May 13, 2010
- Last Updated
- May 13, 2010
Practice Location
- Address
- 7811 COBDEN RD
- City
- Laverock
- State
- Pennsylvania
- ZIP Code
- 19038-7257
- Phone
- (215) 233-2504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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