Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Russell Clark, MSSLPCCC

Individual provider Speech-Language Pathologist · NPI 1831417922

John Russell Clark, MSSLPCCC is a Speech-Language Pathologist in Laverock, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2010
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Practice location Address checks out

7811 Cobden Rd
Laverock, PA 19038-7257
Phone: (215) 233-2504
Fax: (215) 233-2504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SL006211L (PA)

Record details

NPI number1831417922
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSLPCCC
Sole proprietorYes
NPI enumeratedMay 13, 2010
Last updated in NPPESMay 13, 2010

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