National Provider Identifier
Heidi Lynn Clark, MS CCC-SLP
Heidi Lynn Clark, MS CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lyons, NY and a listed phone number of (315) 946-5673.
Profile Overview
- NPI
- 1487808028
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- November 10, 2008
- Last Updated
- November 10, 2008
Practice Location
- 1529 Nye RD
- Lyons, NY 14489-9111
Phone: (315) 946-5673
Mailing Address
- 159 W 1St St
- Oswego, NY 13126-2045
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1487808028
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Heidi
- Middle Name
- Lynn
- Credential
- MS CCC-SLP
- Mailing Street Address
- 159 W 1St St
- Mailing City
- Oswego
- Mailing State
- NY
- Mailing ZIP Code
- 13126-2045
- Mailing Country
- US
- Mailing Phone
- (315) 342-9575
- Practice Street Address
- 1529 Nye RD
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-9111
- Practice Country
- US
- Practice Phone
- (315) 946-5673
- Enumeration Date
- November 10, 2008
- Last Updated
- November 10, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)