National Provider Identifier
Laura A Clark, MS, CCC/SLP
Laura A Clark, MS, CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Webster, NY and a listed phone number of (585) 216-0087.
Profile Overview
- NPI
- 1407012412
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- July 30, 2008
- Last Updated
- April 11, 2023
Practice Location
- 119 South Ave
- Webster, NY 14580-3559
Phone: (585) 216-0087
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1407012412
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Laura
- Middle Name
- A
- Name Prefix
- MS.
- Credential
- MS, CCC/SLP
- Mailing Street Address
- 119 South Ave
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-3559
- Mailing Country
- US
- Mailing Phone
- (585) 216-0087
- Mailing Fax
- (585) 216-0006
- Practice Street Address
- 119 South Ave
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-3559
- Practice Country
- US
- Practice Phone
- (585) 216-0087
- Practice Fax
- (585) 216-0006
- Enumeration Date
- July 30, 2008
- Last Updated
- April 11, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)