Kathryn Clark, CCC-SLP

NPI 1760606040 · on the registry since 2007 · sole proprietor

Practice

Address: 301 Andrews Avenue
Edis
Fort Rucker, AL 36362
Phone: (808) 772-1393
Organisation at this address: Montgomery Vamc
United States Army
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 155

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Also registered as: 235Z00000X
Licence states on file: HI, AL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama