National Provider Identifier

Ann Cecelia Clark, SLP

Ann Cecelia Clark, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Kenmore, NY and a listed phone number of (717) 877-6143.

NPI 1346482080Kenmore, NYSpeech-Language Pathologist

Profile Overview

NPI
1346482080
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
March 26, 2009
Last Updated
March 26, 2009

Practice Location

  • 111 McKinley Ave
  • Kenmore, NY 14217-2462

Phone: (717) 877-6143

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1346482080
Entity Type
Individual
Last Name
Clark
First Name
Ann
Middle Name
Cecelia
Name Prefix
Mrs.
Credential
SLP
Mailing Street Address
111 McKinley Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2462
Mailing Country
US
Mailing Phone
(717) 877-6143
Practice Street Address
111 McKinley Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2462
Practice Country
US
Practice Phone
(717) 877-6143
Enumeration Date
March 26, 2009
Last Updated
March 26, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)