National Provider Identifier
Julie R Clark, MA CCC SLP L
Julie R Clark, MA CCC SLP L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Frewsburg, NY and a listed phone number of (716) 708-2025.
Profile Overview
- NPI
- 1649577800
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- February 23, 2011
- Last Updated
- February 09, 2015
Practice Location
- 118 N Pearl St
- Frewsburg, NY 14738-9514
Phone: (716) 708-2025
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1649577800
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Julie
- Middle Name
- R
- Name Prefix
- Mrs.
- Credential
- MA CCC SLP L
- Mailing Street Address
- 118 N Pearl St
- Mailing City
- Frewsburg
- Mailing State
- NY
- Mailing ZIP Code
- 14738-9514
- Mailing Country
- US
- Mailing Phone
- (716) 708-2025
- Practice Street Address
- 118 N Pearl St
- Practice City
- Frewsburg
- Practice State
- NY
- Practice ZIP Code
- 14738-9514
- Practice Country
- US
- Practice Phone
- (716) 708-2025
- Enumeration Date
- February 23, 2011
- Last Updated
- February 09, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)