National Provider Identifier
Gabriele A Clark, SLP
Gabriele A Clark, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lackawanna, NY and a listed phone number of (315) 575-2633.
Profile Overview
- NPI
- 1205212461
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 10, 2015
- Last Updated
- August 10, 2015
Practice Location
- 678 Ridge RD Apt 6
- Lackawanna, NY 14218-1540
Phone: (315) 575-2633
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1205212461
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Gabriele
- Middle Name
- A
- Credential
- SLP
- Mailing Street Address
- 678 Ridge RD Apt 6
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1540
- Mailing Country
- US
- Mailing Phone
- (315) 575-2633
- Practice Street Address
- 678 Ridge RD Apt 6
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1540
- Practice Country
- US
- Practice Phone
- (315) 575-2633
- Enumeration Date
- August 10, 2015
- Last Updated
- August 10, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)