Jody R Clark
Jody R Clark is a Speech-Language Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2011.
- Licensed in
- AZ
- In the registry since
- 2011
Practice location Address checks out
20402 N 15th AvePhoenix, AZ 85027-3636
Phone: (623) 445-5952
Fax: (623) 445-5095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Assistant (primary) | Taxonomy 2355S0801X · Licence SLPA7559 (AZ) |
|---|
Record details
| NPI number | 1821367178 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 15, 2011 |
| Last updated in NPPES | December 15, 2011 |
| Mailing address | 20402 N 15th Ave, Phoenix, AZ 85027-3636 |
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